go back

South Dakota rates for HCPCS 64820

Sympathectomy Digital Arteries Each Digit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.53 / $749.53 / $749.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.95 / $749.53 / $1,832.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.46 / $1,735.83 / $2,169.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.98 / $1,228.60 / $1,915.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.08 / $1,463.93 / $5,694.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $1,672.25 / $2,229.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.60 / $1,505.25 / $1,950.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.69 / $1,234.07 / $1,512.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $3,905.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.85 / $1,295.34 / $2,014.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.40 / $1,835.80 / $1,835.80