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South Dakota rates for HCPCS 64681

Dstrj Nulyt W/Worad Mntr Suprior Hypogstr Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.36 / $469.13 / $469.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.56 / $386.15 / $693.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.95 / $627.17 / $1,314.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.52 / $620.59 / $1,056.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.50 / $1,223.11 / $3,364.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.57 / $917.51 / $1,281.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.13 / $702.79 / $1,281.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.68 / $642.54 / $875.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.12 / $902.10 / $1,573.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.80 / $522.20 / $1,063.20