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South Dakota rates for HCPCS 20663

Application of halo, including removal; femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.74 / $483.74 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.18 / $483.74 / $1,157.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.07 / $1,107.88 / $1,384.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.79 / $758.17 / $1,039.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.51 / $934.31 / $3,591.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.50 / $1,110.00 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.39 / $929.59 / $1,282.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.94 / $715.25 / $959.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.40 / $889.82 / $1,322.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.70 / $1,164.50 / $1,164.50