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South Dakota rates for HCPCS 64864

Suture Facial Nerve Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.09 / $840.09 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.07 / $1,415.38 / $2,306.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.53 / $2,109.19 / $7,260.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.91 / $1,456.30 / $1,681.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00