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South Dakota rates for HCPCS 64907

Nerve Pedical Transfer Second Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.89 / $1,243.89 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.53 / $1,243.89 / $3,087.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.08 / $2,867.87 / $3,584.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.27 / $2,102.17 / $3,683.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.68 / $2,734.52 / $10,045.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,019.72 / $3,079.46 / $7,260.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.72 / $2,594.71 / $3,482.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.94 / $2,229.31 / $2,541.67
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
$1,198.86 / $2,408.98 / $3,554.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,521.40 / $3,085.10 / $3,085.10