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South Dakota rates for HCPCS 64859

Suture Each Additional Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.02 / $232.02 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.24 / $232.02 / $580.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.18 / $531.35 / $664.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.80 / $405.75 / $671.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.87 / $517.82 / $2,785.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.86 / $564.13 / $653.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.86 / $535.66 / $656.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.85 / $417.61 / $476.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.87 / $487.32 / $690.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.30 / $577.90 / $577.90