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South Dakota rates for HCPCS 64742

Transection or avulsion of; facial nerve, differential or complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.91 / $493.91 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.66 / $803.61 / $1,207.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.74 / $1,235.76 / $2,173.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.45 / $775.72 / $963.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00