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South Dakota rates for HCPCS 64787

Implantation Nerve End Bone/Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.92 / $223.92 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.88 / $381.25 / $651.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.73 / $553.88 / $953.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.54 / $401.62 / $464.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00