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South Dakota rates for HCPCS 64786

Excision Neuroma Sciatic Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.33 / $942.33 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.23 / $942.33 / $2,393.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.82 / $2,163.56 / $2,704.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.76 / $1,615.68 / $2,832.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.55 / $2,202.14 / $7,371.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.48 / $2,422.50 / $7,260.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.48 / $2,166.89 / $2,702.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.94 / $1,726.03 / $1,967.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.80 / $2,097.28 / $2,701.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.20 / $2,388.60 / $2,388.60