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South Dakota rates for HCPCS 64704

Neuroplasty Nerve Hand/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.79 / $322.79 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.12 / $331.13 / $907.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.75 / $753.39 / $941.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.52 / $545.52 / $840.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.12 / $667.55 / $3,232.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.16 / $813.03 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.37 / $664.79 / $865.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.16 / $546.60 / $643.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$118.78 / $118.78 / $118.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$118.78 / $118.78 / $118.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.67 / $635.76 / $901.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.90 / $780.50 / $780.50