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South Dakota rates for HCPCS 64836

Suture 1 Nerve Ulnar Motor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.87 / $790.87 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.89 / $790.87 / $1,952.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.88 / $1,830.11 / $2,287.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.15 / $1,336.57 / $2,153.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.36 / $1,695.12 / $6,025.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.49 / $1,997.94 / $7,260.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.49 / $1,697.78 / $2,193.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.28 / $1,368.70 / $1,610.13
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
$723.65 / $1,614.40 / $2,234.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.30 / $1,954.40 / $1,954.40