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South Dakota rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.99 / $113.46 / $2,359.53
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$10.00 / $10.00 / $22.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.59 / $103.90 / $550.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.12 / $176.48 / $319.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.86 / $140.93 / $311.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.72 / $208.83 / $2,512.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.89 / $213.66 / $351.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.26 / $159.87 / $277.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.03 / $141.86 / $212.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $208.83 / $293.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.90 / $118.60 / $257.50