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South Dakota rates for HCPCS 64763

Trnsxj/Avlsn Obturat Nrv Xpelv W/Wo Tenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.36 / $490.36 / $490.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.24 / $490.36 / $1,233.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.15 / $1,132.81 / $1,416.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.03 / $828.71 / $1,320.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.31 / $979.86 / $3,762.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.45 / $1,337.79 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.65 / $1,038.56 / $1,386.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.30 / $864.44 / $1,016.93
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
$513.26 / $933.20 / $1,385.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.80 / $1,234.30 / $1,234.30