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South Dakota rates for HCPCS 64792

Exc Neurofibroma/Neurolemmoma Extnsv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.80 / $1,010.80 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.23 / $1,010.80 / $2,570.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.36 / $2,359.89 / $2,949.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.00 / $1,708.25 / $2,841.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.38 / $2,228.44 / $7,842.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.47 / $2,599.21 / $7,260.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.47 / $2,282.00 / $2,865.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.12 / $1,806.74 / $2,119.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.38 / $1,834.72 / $2,854.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.40 / $2,572.30 / $2,572.30