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South Dakota rates for HCPCS 95863

Ndl Emg 3 Xtr W/Wo Related Paraspinal Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.61 / $232.61 / $232.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.87 / $211.01 / $348.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.25 / $441.07 / $551.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.99 / $251.93 / $490.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.62 / $416.81 / $1,377.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.89 / $405.13 / $505.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.57 / $409.90 / $461.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.78 / $345.34 / $406.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.62 / $384.15 / $461.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.00 / $512.70 / $512.70