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South Dakota rates for HCPCS 64868

Anastomosis; facial-hypoglossal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,290.87 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,737.80 / $10,715.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,290.87 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,290.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,778.28 / $2,818.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,238.72 / $2,344.23