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South Dakota rates for HCPCS 64861

Suture of; brachial plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,311.31 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,344.23 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,089.30 / $10,715.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $3,235.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,754.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,238.72 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,454.71 / $3,801.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,548.13 / $3,630.78