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Tennessee rates for HCPCS 64823

Sympathectomy; superficial palmar arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.52 / $818.27 / $1,200.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.96 / $1,024.25 / $1,586.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.22 / $1,045.63 / $1,644.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,957.00 / $8,957.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,750.88 / $5,862.96 / $6,855.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,934.00 / $4,611.00 / $8,086.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.11 / $928.71 / $1,608.31