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South Dakota rates for HCPCS 64818

Sympathectomy Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.02 / $753.02 / $753.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.44 / $753.02 / $1,811.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.90 / $1,741.29 / $2,176.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.56 / $1,167.86 / $1,505.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.96 / $1,359.90 / $6,736.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.75 / $1,730.03 / $2,408.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.75 / $1,401.89 / $2,092.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.95 / $1,144.02 / $1,534.45
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
$691.44 / $1,359.90 / $2,133.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.20 / $1,862.50 / $1,862.50