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South Dakota rates for HCPCS 64885

Nerve Graft Head/Neck <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.26 / $1,049.26 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $1,775.94 / $2,966.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.16 / $2,680.21 / $7,445.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.13 / $1,834.97 / $2,092.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00