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South Dakota rates for HCPCS 64632

Dstrj Neurolytic Plantar Common Digital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $90.30 / $90.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $80.20 / $113.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.02 / $193.80 / $264.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.35 / $130.59 / $211.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.02 / $200.85 / $684.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.83 / $168.68 / $233.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.29 / $174.82 / $233.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.26 / $131.97 / $177.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.54 / $170.94 / $246.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.90 / $160.19 / $215.90