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South Dakota rates for HCPCS 64645

Chemodenervation 1 Extremity Ea Addl 5/> Muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.78 / $116.59 / $116.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.92 / $104.18 / $239.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.88 / $217.17 / $335.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.95 / $167.68 / $271.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.61 / $259.81 / $881.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.67 / $218.67 / $301.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.78 / $218.67 / $301.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.86 / $169.57 / $234.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.61 / $206.12 / $320.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.60 / $191.60 / $285.00