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South Dakota rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Facilitymedian $513 · 10th–90th $302–$4,3650%20%10th90th$513Professionalmedian $398 · 10th–90th $302–$7940%10%10th90th$398$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
$302.00 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $316.23 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $707.95 / $891.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $776.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $537.03 / $8,317.64
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $691.83 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $512.86 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $39,810.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $537.03 / $831.76
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $758.58 / $758.58