go back

South Dakota rates for HCPCS 43652

Laps Surg Trnsxj Vagus Nrv Slctv/Hily Slctv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.89 / $691.89 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.35 / $691.89 / $749.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.86 / $1,658.70 / $2,073.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.86 / $1,254.70 / $2,116.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.69 / $1,462.64 / $8,379.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.85 / $1,711.50 / $2,388.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.00 / $1,692.14 / $2,060.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.50 / $1,283.98 / $1,504.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.69 / $1,462.64 / $2,064.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.10 / $1,825.60 / $1,825.60