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South Dakota rates for HCPCS 64746

Transection or avulsion of; phrenic nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $691.83 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $954.99 / $954.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $912.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $741.31 / $1,174.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,023.29