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South Dakota rates for HCPCS 64784

Exc Neuroma Major Peripheral Nrv Xcp Sciatic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.33 / $704.33 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.46 / $1,190.32 / $1,911.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.44 / $1,653.85 / $2,229.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.97 / $1,219.68 / $1,434.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00