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South Dakota rates for HCPCS 61538

Craniot Lobec Temporal Lobe W/Electrocortcogrphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,390.19 / $2,390.19 / $2,390.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.30 / $2,390.19 / $7,852.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,478.71 / $5,534.20 / $6,849.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,686.34 / $3,454.87 / $6,844.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,960.82 / $5,149.64 / $18,732.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,824.37 / $6,195.68 / $8,230.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,096.00 / $5,718.46 / $7,196.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,258.16 / $4,598.78 / $5,243.12
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
$3,321.02 / $6,560.24 / $6,853.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,201.39 / $6,119.30 / $6,364.00