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South Dakota rates for HCPCS 64716

Neuroplasty and/or transposition; cranial nerve (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.05 / $505.05 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.82 / $853.92 / $1,401.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.47 / $1,264.06 / $2,173.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.44 / $881.17 / $1,004.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$193.03 / $193.03 / $193.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00