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South Dakota rates for HCPCS 64895

Nerve Graft Mlt Strands Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.38 / $1,268.38 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.71 / $1,268.38 / $3,147.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.17 / $2,923.96 / $3,654.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.52 / $2,143.56 / $3,557.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.33 / $2,740.63 / $9,692.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,025.31 / $3,214.46 / $7,260.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.31 / $2,771.68 / $3,552.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.50 / $2,258.14 / $2,590.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.57 / $2,645.70 / $3,622.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.19 / $3,144.70 / $3,144.70