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South Dakota rates for HCPCS 20664

Appl Halo Cranial 6/> Pins Thin Skull Osteology

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.50 / $849.50 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.98 / $849.50 / $2,138.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.07 / $1,938.40 / $2,423.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.94 / $1,303.40 / $2,217.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.15 / $1,720.09 / $6,408.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.80 / $1,948.31 / $2,742.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,802.99 / $2,365.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.53 / $1,507.19 / $1,775.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.59 / $1,473.25 / $2,291.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.60 / $2,155.40 / $2,155.40