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South Dakota rates for HCPCS 61615

Rescj/Exc Les Base Post Crnl Fossa Jug Frmn Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,603.13 / $2,603.13 / $2,603.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.69 / $2,207.17 / $4,480.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,498.10 / $5,912.59 / $7,390.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,817.33 / $3,730.12 / $6,888.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,839.32 / $4,968.81 / $19,981.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,663.06 / $6,321.00 / $8,801.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,673.00 / $5,498.10 / $7,647.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,139.59 / $4,691.75 / $5,519.35
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
$3,142.87 / $5,970.49 / $7,366.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,475.40 / $6,441.70 / $6,699.30