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South Dakota rates for HCPCS 64650

Chemodenervation Eccrine Glands Both Axillae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $89.47 / $89.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.32 / $89.47 / $220.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.42 / $113.79 / $253.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $108.00 / $199.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $178.12 / $656.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.89 / $137.59 / $212.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.19 / $116.20 / $210.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $109.28 / $170.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.33 / $144.90 / $225.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.30 / $95.80 / $206.50