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South Dakota rates for HCPCS 64702

Neuroplasty Digital 1/Both Same Digit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.07 / $510.07 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.68 / $754.59 / $1,303.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.24 / $1,274.66 / $2,173.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.89 / $845.33 / $1,022.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00