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
$329.67 / $329.67 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.77 / $329.67 / $802.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.34 / $775.98 / $969.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $558.09 / $1,044.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.96 / $803.08 / $3,232.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.29 / $871.77 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.87 / $794.22 / $888.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.26 / $578.75 / $675.44
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
$420.66 / $764.84 / $983.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.60 / $800.90 / $800.90