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South Dakota rates for HCPCS 64611

Chemodenerv Parotid&Submandibl Salivary Glnds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.46 / $125.99 / $125.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.51 / $106.46 / $181.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.12 / $283.54 / $369.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.81 / $184.34 / $294.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.49 / $262.39 / $959.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.31 / $228.92 / $317.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.31 / $228.92 / $299.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.74 / $197.62 / $258.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.38 / $211.05 / $328.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.10 / $269.30 / $314.10