go back

Montana rates for HCPCS 64823

Sympathectomy; superficial palmar arch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.14 / $1,070.05 / $4,132.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.97 / $1,262.97 / $1,262.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.79 / $1,262.97 / $1,323.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.99 / $860.74 / $1,262.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.87 / $1,262.97 / $1,646.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.43 / $992.43 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.11 / $1,290.24 / $1,458.55