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South Dakota rates for HCPCS 64732

Transection/Avulsion Supraorbital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.04 / $431.04 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.11 / $431.04 / $1,098.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.47 / $1,004.26 / $1,255.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.83 / $654.37 / $994.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.77 / $776.56 / $3,302.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.33 / $1,046.96 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.51 / $840.70 / $1,213.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.30 / $681.01 / $913.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.77 / $755.01 / $1,174.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.20 / $1,108.70 / $1,108.70