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South Dakota rates for HCPCS 20664

Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $851.14 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,995.26 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,380.38 / $6,456.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,862.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,513.56 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $2,290.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $2,137.96