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South Dakota rates for HCPCS 61575

Trnsral Skull Bse/Br Stem/Cord Bx/Dcompr/Exc Les

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.81 / $2,258.81 / $2,258.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.87 / $2,258.81 / $7,369.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,182.68 / $5,235.18 / $6,479.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,532.46 / $3,411.42 / $6,424.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,772.66 / $4,837.18 / $17,676.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,580.12 / $5,846.43 / $7,755.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,880.00 / $5,293.23 / $6,782.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,183.84 / $4,327.13 / $4,944.89
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
$2,541.61 / $4,148.08 / $6,452.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,905.50 / $5,771.20 / $6,002.10