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South Dakota rates for HCPCS 64746

Transection/Avulsion Phrenic Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.35 / $407.35 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.91 / $407.35 / $1,023.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $937.26 / $1,171.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.05 / $688.42 / $1,124.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.35 / $859.72 / $3,134.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.60 / $1,039.07 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.05 / $898.64 / $1,155.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.70 / $725.25 / $842.91
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
$450.33 / $818.78 / $1,162.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.20 / $1,023.10 / $1,023.10