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South Dakota rates for HCPCS 64818

Sympathectomy, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,288.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,202.26 / $2,041.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $1,862.09