go back

South Dakota rates for HCPCS 64570

Removal Crnl Nrv Nstim Eltrds & Pulse Generato

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.35 / $685.35 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.47 / $1,076.82 / $1,721.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.92 / $1,640.92 / $7,260.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.66 / $1,221.03 / $1,472.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00