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South Dakota rates for HCPCS 61564

Exc Benign Tum Cranial Bone W/Optic Nrv Dcmprn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.06 / $2,176.06 / $2,176.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.49 / $2,176.06 / $3,655.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,997.29 / $5,047.91 / $6,247.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,435.91 / $3,395.66 / $6,169.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.77 / $4,537.34 / $17,015.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,353.11 / $5,627.66 / $7,456.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,809.00 / $5,175.03 / $6,521.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,068.36 / $4,153.64 / $4,757.95
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
$2,888.26 / $5,937.38 / $6,203.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,720.10 / $5,553.00 / $5,775.10