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Texas rates for HCPCS 64822

Sympathectomy; ulnar artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.00 / $2,673.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.92 / $702.99 / $1,149.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.50 / $654.50 / $654.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.33 / $4,278.00 / $8,568.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.91 / $820.11 / $1,117.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $642.37 / $652.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.54 / $797.54 / $797.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.80 / $941.19 / $1,408.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $8,957.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,087.68 / $5,185.35 / $6,063.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.24 / $816.45 / $1,310.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.89 / $1,040.27 / $1,289.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.30 / $739.30 / $739.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.24 / $824.64 / $1,350.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.44 / $960.31 / $1,445.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.04 / $750.03 / $1,167.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.89 / $671.28 / $933.58