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South Dakota rates for HCPCS 64913

Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $162.18 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $380.19 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $223.87 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $309.03 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $363.08 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $398.11