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South Dakota rates for HCPCS 64876

Suture Nerve Req Shortening Bone Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.85 / $183.85 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.72 / $183.85 / $460.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.19 / $420.71 / $525.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.71 / $311.45 / $463.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.14 / $364.90 / $1,415.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $449.13 / $1,089.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.20 / $390.96 / $520.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.50 / $288.45 / $377.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.14 / $319.08 / $535.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.80 / $458.60 / $458.60