go back

South Dakota rates for HCPCS 61517

Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $120.23 / $234.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $186.21 / $190.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $151.36 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26