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South Dakota rates for HCPCS 64713

Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.86 / $763.86 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.56 / $1,273.65 / $1,894.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.95 / $1,753.74 / $2,229.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.58 / $1,225.81 / $1,579.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$289.29 / $289.29 / $289.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00