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South Dakota rates for HCPCS 64714

Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.05 / $735.05 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.40 / $1,109.28 / $1,717.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.74 / $1,642.97 / $2,229.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.33 / $1,130.03 / $1,515.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$267.80 / $267.80 / $267.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00