go back

South Dakota rates for HCPCS 64680

Dstrj Neurolytic W/Wo Rad Monitor Celiac Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.15 / $355.16 / $355.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.58 / $435.24 / $799.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.07 / $732.17 / $1,123.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.92 / $436.31 / $650.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00