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South Dakota rates for HCPCS 61684

Intracranial Arven Malfrmj Infratentrl Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,559.48 / $2,559.48 / $2,559.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,189.21 / $2,559.48 / $8,355.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,872.10 / $5,931.58 / $7,341.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,871.69 / $4,325.54 / $7,293.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,167.54 / $5,496.17 / $20,038.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,088.31 / $6,627.62 / $8,794.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,488.00 / $6,090.99 / $7,689.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,595.98 / $4,913.71 / $5,606.68
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
$3,553.41 / $5,187.20 / $7,322.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,562.00 / $6,543.60 / $6,805.30