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Michigan rates for HCPCS 64823

Sympathectomy; superficial palmar arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.44 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.57 / $1,004.62 / $1,053.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,202.02 / $2,584.52 / $3,501.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.41 / $1,207.09 / $1,937.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.34 / $932.91 / $1,802.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.92 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.72 / $888.79 / $1,237.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $669.10 / $1,008.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $6,649.00 / $8,911.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.71 / $914.98 / $1,296.01