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South Dakota rates for HCPCS 64708

Neuroplasty, major peripheral nerve, arm or leg, open; other than specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.31 / $496.31 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $492.32 / $3,981.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.54 / $1,174.88 / $1,468.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.09 / $813.02 / $1,300.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.30 / $1,023.77 / $5,389.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.91 / $1,263.65 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.22 / $1,030.79 / $1,353.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $845.92 / $1,003.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$185.57 / $185.57 / $185.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$185.57 / $185.57 / $185.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.02 / $975.02 / $1,390.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.40 / $1,217.80 / $1,217.80