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South Dakota rates for HCPCS 64634

Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $265.19 / $6,049.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $197.18 / $419.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$95.36 / $95.36 / $97.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.08 / $385.44 / $732.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.46 / $294.11 / $483.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.81 / $430.37 / $2,060.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.47 / $284.50 / $627.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.47 / $284.50 / $515.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.98 / $302.58 / $482.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.26 / $382.98 / $531.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.30 / $157.00 / $585.79