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South Dakota rates for HCPCS 64868

Anastomosis Facial Hypoglossal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.26 / $982.26 / $982.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.07 / $982.26 / $2,343.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.10 / $2,231.34 / $2,789.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.03 / $1,644.02 / $2,629.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.53 / $2,124.80 / $10,776.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.94 / $2,306.21 / $3,086.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.94 / $2,074.88 / $2,670.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.68 / $1,691.99 / $1,929.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.99 / $1,990.60 / $2,767.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,913.70 / $2,341.50 / $2,341.50