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Alaska rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,267.23 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.57 / $3,745.42 / $3,745.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.73 / $2,586.42 / $3,402.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.53 / $3,745.42 / $5,243.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.20 / $2,352.23 / $4,775.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,506.90 / $3,514.80 / $4,548.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.53 / $3,745.42 / $5,243.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.34 / $3,500.07 / $5,193.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,489.22 / $6,489.22 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.02 / $2,069.14 / $4,707.29