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South Dakota rates for HCPCS 64584

Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.72 / $711.72 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.79 / $711.72 / $820.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.88 / $1,634.55 / $2,043.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.34 / $1,018.73 / $1,761.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.27 / $1,368.16 / $5,421.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.42 / $1,799.84 / $7,260.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.48 / $1,607.39 / $2,050.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.13 / $1,247.15 / $1,421.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.90 / $1,436.57 / $1,923.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.60 / $1,659.50 / $1,725.90