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South Dakota rates for HCPCS 64585

Revj/Rmvl Perph Neurostimulator Electrode Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.32 / $244.60 / $244.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.32 / $205.46 / $409.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.51 / $409.03 / $691.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.85 / $347.23 / $635.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.56 / $563.02 / $2,775.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.64 / $563.02 / $4,569.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.51 / $439.54 / $650.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.80 / $331.25 / $464.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.35 / $393.78 / $694.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.20 / $341.60 / $563.79