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South Dakota rates for HCPCS 64802

Sympathectomy, cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.91 / $788.91 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.54 / $788.91 / $2,041.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.77 / $1,827.77 / $2,284.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.23 / $1,214.28 / $1,788.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.61 / $1,404.85 / $6,511.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.43 / $1,799.51 / $2,229.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.43 / $1,418.45 / $2,266.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.06 / $1,261.70 / $1,692.29
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
$737.45 / $1,342.81 / $2,185.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.80 / $2,054.10 / $2,054.10