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South Dakota rates for HCPCS 64858

Suture of sciatic nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.01 / $1,128.01 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.41 / $1,128.01 / $2,796.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.99 / $2,602.19 / $3,252.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.77 / $1,906.34 / $3,086.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.49 / $2,390.67 / $8,617.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $2,529.91 / $3,162.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.90 / $2,425.13 / $3,153.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.86 / $1,978.48 / $2,302.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.26 / $2,065.69 / $3,213.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.60 / $2,795.30 / $2,795.30