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South Dakota rates for HCPCS 64600

Dstrj Trigeminal Nrv Supraorb Infraorb Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.65 / $467.88 / $467.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.57 / $401.95 / $657.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.32 / $659.31 / $1,366.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.44 / $576.05 / $987.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.83 / $926.35 / $3,508.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.29 / $827.42 / $1,151.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.28 / $608.36 / $1,043.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.60 / $573.69 / $929.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.48 / $718.01 / $1,243.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.80 / $572.40 / $1,128.30