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South Dakota rates for HCPCS 64553

Percutaneous implantation of neurostimulator electrode array; cranial nerve

Facilitymedian $2,291 · 10th–90th $380–$4,3650%10%20%10th90th$2,291Professionalmedian $1,072 · 10th–90th $355–$7,2440%10%10th90th$1,072$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $1,071.52 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $3,311.31 / $11,220.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $616.60 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $1,778.28 / $28,183.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $3,890.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $407.38 / $2,290.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $891.25 / $7,244.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $501.19 / $6,918.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,071.52 / $8,709.64