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South Dakota rates for HCPCS 61055

Cisternal/Lateral C1-C2 Puncture W/Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.75 / $112.75 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.81 / $112.75 / $356.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.82 / $256.32 / $320.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.58 / $190.55 / $321.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.94 / $237.69 / $1,131.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.72 / $285.45 / $359.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $258.00 / $318.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.55 / $196.32 / $223.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.94 / $232.34 / $334.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.00 / $261.20 / $271.70