go back

Louisiana rates for HCPCS 64823

Sympathectomy; superficial palmar arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,520.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.67 / $1,152.70 / $1,272.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.52 / $5,009.01 / $7,389.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.73 / $1,063.56 / $1,324.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $721.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.63 / $1,049.51 / $1,368.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $3,602.00 / $11,347.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.18 / $925.45 / $1,646.01