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South Dakota rates for HCPCS 64891

Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,630.27 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,862.09 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,949.84 / $8,511.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,570.40 / $2,570.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,570.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,905.46 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,041.74 / $3,162.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $2,754.23