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West Virginia rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.09 / $1,214.14 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.88 / $820.77 / $1,303.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $940.26 / $1,024.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.19 / $910.61 / $910.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.69 / $901.69 / $901.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.63 / $1,138.26 / $2,255.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $2,910.00 / $2,910.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.90 / $907.00 / $1,252.08