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South Dakota rates for HCPCS 64744

Transection/Avulsion Greater Occipital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.30 / $477.30 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.49 / $477.30 / $1,220.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.07 / $1,107.88 / $1,384.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.14 / $728.00 / $1,261.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.09 / $968.23 / $3,665.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.87 / $1,212.48 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.00 / $1,024.51 / $1,353.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.11 / $857.12 / $1,013.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.17 / $968.23 / $1,308.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.60 / $1,230.40 / $1,230.40