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South Dakota rates for HCPCS 64859

Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $245.47 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $407.38 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $416.87 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $416.87 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $436.52 / $691.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $575.44