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South Dakota rates for HCPCS 61612

Trnsxj/Lig Crtd Art Petrous Canal Rpr Anast/Grf

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $2,884.03