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Washington rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.48 / $4,011.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.53 / $1,004.62 / $2,234.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.46 / $8,957.00 / $17,546.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.13 / $1,835.62 / $6,991.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $3,740.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.13 / $1,428.88 / $2,423.78
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.41 / $1,673.25 / $3,280.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.85 / $1,625.09 / $2,824.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $816.99 / $1,798.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.01 / $1,524.25 / $1,609.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.25 / $1,065.46 / $2,961.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.35 / $1,746.25 / $2,178.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,948.17 / $9,167.59 / $17,546.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.61 / $1,562.45 / $2,080.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $3,492.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.48 / $1,319.52 / $2,298.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.19 / $669.19 / $867.35