go back

Wisconsin rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.88 / $1,620.49 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.88 / $803.32 / $3,060.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.69 / $1,770.32 / $4,238.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.34 / $2,392.48 / $3,670.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.99 / $3,038.73 / $3,453.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.22 / $921.88 / $1,595.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.22 / $1,120.94 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.92 / $1,512.04 / $5,862.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $635.78 / $1,672.76
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.22 / $890.78 / $1,595.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.60 / $1,919.81 / $2,865.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.77 / $3,244.77 / $8,957.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.63 / $3,757.85 / $5,862.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,712.44 / $2,712.44 / $2,712.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.48 / $4,298.38 / $4,550.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,489.22 / $9,882.00 / $12,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.20 / $1,503.14 / $3,382.07