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South Dakota rates for HCPCS 64907

Nerve pedicle transfer; second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,288.25 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,951.21 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,089.30 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,238.72 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,951.21 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,951.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,238.72 / $2,570.40
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
$1,445.44 / $2,290.87 / $3,630.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $3,090.30