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South Dakota rates for HCPCS 61520

Crnec Tum Infrattl/Postfossa Crblopnt Angle Tum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,392.64 / $3,392.64 / $3,392.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,742.76 / $5,481.23 / $9,660.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,441.86 / $8,737.60 / $11,559.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,762.96 / $6,421.27 / $7,320.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00