go back

South Dakota rates for HCPCS 64736

Transection or avulsion of; mental nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $331.13 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $562.34 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $630.96 / $3,235.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $851.14 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $660.69 / $1,071.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $794.33