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South Dakota rates for HCPCS 64911

Nerve Repair W/Autogenous Vein Graft Ea Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.08 / $993.08 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.48 / $993.08 / $2,942.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.94 / $2,292.11 / $2,865.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.32 / $1,588.40 / $2,667.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.05 / $2,098.19 / $7,526.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.82 / $2,319.90 / $3,166.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.82 / $2,260.53 / $2,753.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.77 / $1,707.99 / $2,009.27
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
$1,099.05 / $1,998.28 / $2,857.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.30 / $2,345.00 / $2,438.80