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South Dakota rates for HCPCS 64771

Transection or avulsion of other cranial nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.88 / $567.88 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.58 / $958.70 / $1,563.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,422.06 / $2,173.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.41 / $1,011.09 / $1,198.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00