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Nebraska rates for HCPCS 64823

Sympathectomy; superficial palmar arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.90 / $720.90 / $4,132.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.30 / $3,958.05 / $7,656.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.72 / $1,189.29 / $1,585.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.00 / $1,740.85 / $2,333.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.90 / $1,287.79 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.29 / $1,578.25 / $2,164.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.00 / $1,943.91 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.72 / $1,613.18 / $2,333.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.00 / $6,178.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.29 / $1,468.14 / $1,871.88