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South Dakota rates for HCPCS 20662

Application Halo Pelvic Including Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.91 / $523.91 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.63 / $523.91 / $1,256.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.21 / $1,199.03 / $1,498.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.84 / $842.65 / $1,206.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.49 / $921.12 / $3,888.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.21 / $1,200.82 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $986.92 / $1,393.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.04 / $786.93 / $1,040.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.05 / $877.26 / $1,415.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.59 / $1,263.40 / $1,263.40