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South Dakota rates for HCPCS 64790

Excision of neurofibroma or neurolemmoma; major peripheral nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.21 / $806.21 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.56 / $1,362.49 / $2,178.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.57 / $1,871.21 / $2,229.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.88 / $1,435.24 / $1,688.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00