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South Dakota rates for HCPCS 64874

Suture Nerve Req Xtnsv Mobil/Trpos Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.29 / $162.29 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.65 / $162.29 / $338.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.48 / $371.63 / $464.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.73 / $287.55 / $439.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.27 / $338.69 / $3,201.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.77 / $396.23 / $1,089.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.77 / $362.88 / $459.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $283.75 / $333.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.27 / $304.24 / $473.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.10 / $405.20 / $405.20