go back

South Dakota rates for HCPCS 64721

Neuroplasty &/Transpos Median Nrv Carpal Tunne

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.50 / $3,674.79 / $4,881.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.88 / $463.01 / $3,142.80
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,777.95 / $1,777.95 / $5,876.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.78 / $1,029.97 / $1,287.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.80 / $733.68 / $1,113.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.56 / $979.78 / $4,131.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.22 / $1,083.19 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.00 / $969.40 / $1,185.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.03 / $741.82 / $887.55
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
$461.69 / $775.21 / $1,205.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.70 / $1,059.20 / $1,077.30