go back

South Dakota rates for HCPCS 62280

Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.80 / $333.33 / $333.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.60 / $280.70 / $472.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.03 / $508.99 / $938.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.78 / $409.62 / $769.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.20 / $718.31 / $2,444.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.81 / $703.78 / $1,123.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.03 / $455.58 / $825.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.47 / $409.04 / $625.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.20 / $600.36 / $989.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.30 / $378.50 / $759.30