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South Dakota rates for HCPCS 61596

Transcochlr Post Crnl Fossa W/Wo Mobil Nrv/Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,392.39 / $2,392.39 / $2,392.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.08 / $2,392.39 / $6,888.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,310.00 / $5,428.77 / $6,785.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.86 / $3,403.80 / $6,508.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,879.20 / $4,798.66 / $18,098.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,735.33 / $6,007.88 / $7,559.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,944.00 / $5,310.00 / $6,568.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,031.61 / $4,104.92 / $4,719.78
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
$2,879.20 / $4,798.66 / $6,738.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,682.20 / $5,508.50 / $5,728.80