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South Dakota rates for HCPCS 64738

Transection or avulsion of; inferior alveolar nerve by osteotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.23 / $450.23 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.15 / $450.23 / $1,067.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.80 / $1,038.54 / $1,298.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.30 / $760.89 / $1,208.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.45 / $948.76 / $3,951.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.34 / $1,118.69 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.78 / $970.21 / $1,202.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.71 / $768.77 / $880.43
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
$446.45 / $820.69 / $1,276.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.40 / $1,068.70 / $1,068.70