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South Dakota rates for HCPCS 64876

Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $194.98 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $537.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $316.23 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $295.12 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $309.03 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $323.59 / $537.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $436.52 / $457.09