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South Dakota rates for HCPCS 61624

Tcat Permanent Occlusion/Embolization Prq Cns

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.16 / $1,048.16 / $24,928.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.95 / $1,771.39 / $2,977.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.19 / $2,724.02 / $3,539.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.71 / $1,932.65 / $2,263.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00