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South Dakota rates for HCPCS 64479

Njx Aa&/Strd Tfrml Epi Cervical/Thoracic 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.57 / $595.35 / $2,705.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.15 / $259.31 / $1,274.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,702.12 / $1,702.12 / $1,702.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.12 / $371.05 / $770.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.04 / $357.23 / $615.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.75 / $560.71 / $1,990.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.41 / $576.41 / $1,123.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.12 / $406.54 / $668.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.56 / $329.95 / $512.34
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
$231.10 / $462.58 / $719.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $307.80 / $621.90