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South Dakota rates for HCPCS 64886

Nerve graft (includes obtaining graft), head or neck; more than 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.71 / $1,258.71 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.28 / $2,119.14 / $3,442.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.38 / $3,166.94 / $9,202.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.16 / $2,171.11 / $2,506.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00