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South Dakota rates for HCPCS 64857

Suture of major peripheral nerve, arm or leg, except sciatic; without transposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,398.83 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $7,762.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,398.83 / $2,398.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,290.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,737.80 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,862.09 / $2,884.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $2,511.89