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South Dakota rates for HCPCS 15845

Grf Facial Nerve Paralysis Regional Muscle Tr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.41 / $1,016.41 / $1,016.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.65 / $1,016.41 / $1,016.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.92 / $2,398.85 / $2,998.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.41 / $1,593.11 / $2,687.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.60 / $2,138.80 / $9,234.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,596.98 / $3,929.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.00 / $2,285.87 / $2,851.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.39 / $1,688.88 / $2,086.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.27 / $2,089.06 / $2,824.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.00 / $2,249.40 / $2,339.40