go back

South Dakota rates for HCPCS 64755

Transection/Avulsion Vagus Nerves

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.75 / $861.75 / $861.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.22 / $861.75 / $2,192.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.19 / $1,978.91 / $2,473.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.66 / $1,449.00 / $2,387.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.61 / $1,742.03 / $9,880.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.22 / $2,035.87 / $2,874.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.22 / $1,886.60 / $2,475.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.72 / $1,542.75 / $1,802.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.73 / $1,592.41 / $2,477.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.90 / $2,187.60 / $2,187.60