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South Dakota rates for HCPCS 61612

Transection Or Ligation, Carotid Artery In Petrous Canal, With Repair By Anastomosis Or Graft

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,302.08 / $3,501.28 / $4,376.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,725.87 / $11,725.87 / $11,725.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,907.58 / $1,907.58 / $2,899.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.58 / $2,920.00 / $2,938.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.10 / $2,342.27 / $2,857.72