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South Dakota rates for HCPCS 64712

Neurp Major Prph Nrv Opn Arm/Leg Sciatic Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.67 / $579.67 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.36 / $942.93 / $1,494.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,459.63 / $2,173.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.79 / $989.83 / $1,175.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$216.07 / $216.07 / $216.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00