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South Dakota rates for HCPCS 61645

Perq Art Trluml M-Thrombec &/Nfs Intracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.63 / $767.63 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.56 / $1,105.16 / $2,058.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.18 / $1,990.04 / $2,572.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.20 / $1,398.41 / $1,643.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00