go back

South Dakota rates for HCPCS 64583

Revj/Rplcmt Hpglsl Nerve Nstim Ra Pg&Respir Snr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.33 / $842.33 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.28 / $842.33 / $973.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.98 / $1,932.95 / $2,416.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.45 / $1,205.44 / $6,571.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.30 / $1,622.46 / $6,423.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.74 / $2,132.64 / $19,931.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,664.64 / $1,908.07 / $2,432.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.17 / $1,478.08 / $1,685.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.48 / $1,813.31 / $2,307.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.80 / $1,966.80 / $2,045.40