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South Dakota rates for HCPCS 61616

Rescj/Exc Les Base Pcf Foramen Vrt Bodies Idrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,086.77 / $3,086.77 / $3,086.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,319.21 / $4,430.00 / $8,549.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.08 / $7,877.42 / $10,379.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,189.74 / $5,665.65 / $6,506.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00