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South Dakota rates for HCPCS 64772

Transection/Avulsion Oth Spinal Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.04 / $546.04 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $911.79 / $1,478.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,373.80 / $2,173.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.40 / $951.53 / $1,100.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$209.12 / $209.12 / $209.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00