go back

Indiana rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.53 / $1,890.31 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.28 / $735.53 / $966.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.35 / $7,572.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.97 / $911.30 / $1,257.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.24 / $1,006.40 / $1,509.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.86 / $898.58 / $1,293.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.05 / $967.78 / $1,589.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,846.00 / $8,348.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.89 / $844.59 / $1,482.56