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South Dakota rates for HCPCS 69720

Dcmprn Facial Nrv Intratemporal Lat Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.90 / $1,179.90 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.35 / $1,994.03 / $3,288.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $3,163.46 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.32 / $2,003.43 / $2,291.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00