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South Dakota rates for HCPCS 64766

Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.88 / $603.88 / $603.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.70 / $603.88 / $1,519.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.52 / $1,392.25 / $1,740.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.89 / $1,020.56 / $1,513.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.25 / $1,176.55 / $4,637.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.61 / $1,523.09 / $2,754.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.04 / $1,191.51 / $1,711.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.11 / $964.49 / $1,252.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.79 / $1,097.59 / $1,707.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.40 / $1,520.10 / $1,520.10