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Texas rates for HCPCS 64823

Sympathectomy; superficial palmar arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.00 / $2,673.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.10 / $795.49 / $1,327.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.96 / $4,188.30 / $7,336.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.87 / $927.64 / $1,264.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $721.00 / $733.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.69 / $901.69 / $901.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.06 / $1,065.66 / $1,603.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $8,957.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,750.88 / $5,862.96 / $6,855.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.62 / $937.93 / $1,478.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.10 / $1,176.11 / $1,458.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.80 / $851.80 / $851.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.53 / $943.20 / $1,561.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.19 / $1,091.56 / $1,648.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $5,210.00 / $10,476.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.86 / $833.31 / $1,326.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.19 / $759.62 / $1,055.10