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South Dakota rates for HCPCS 20661

Application Halo Cranial Including Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.24 / $509.24 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.41 / $777.59 / $1,288.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.25 / $1,158.66 / $1,583.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.53 / $863.61 / $1,029.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00