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Texas rates for HCPCS 64823

Sympathectomy; superficial palmar arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,162.28 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $4,265.80 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,230.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $724.44 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $1,659.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $8,912.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $6,918.31 / $6,918.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $676.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,288.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $776.25