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South Dakota rates for HCPCS 64788

Excision of neurofibroma or neurolemmoma; cutaneous nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.24 / $396.24 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.11 / $396.24 / $977.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.01 / $929.47 / $1,161.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $615.79 / $1,059.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.34 / $815.66 / $3,232.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.56 / $1,066.27 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.51 / $827.69 / $1,081.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.31 / $687.38 / $808.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.27 / $710.44 / $1,105.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.20 / $981.50 / $981.50