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South Dakota rates for HCPCS 61686

Intracranial Arven Malfrmj Infratentrl Cmpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,013.16 / $4,013.16 / $4,013.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,431.83 / $4,013.16 / $12,980.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,191.42 / $9,284.53 / $11,490.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,523.05 / $6,782.24 / $11,546.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,995.85 / $8,742.76 / $31,492.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,457.13 / $10,415.76 / $13,861.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,305.00 / $9,755.84 / $12,116.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,757.08 / $7,739.34 / $8,823.71
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
$4,995.85 / $9,498.53 / $11,690.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,753.50 / $10,298.20 / $10,710.10