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North Dakota rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.15 / $782.15 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.64 / $771.11 / $803.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.84 / $1,753.31 / $2,055.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.41 / $1,936.75 / $2,579.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.15 / $980.10 / $1,348.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.48 / $1,434.85 / $2,023.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.00 / $5,025.00 / $5,025.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.48 / $1,461.25 / $1,688.11