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South Dakota rates for HCPCS 61686

Surgery of intracranial arteriovenous malformation; infratentorial, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,265.80 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $11,748.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $6,025.60 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $7,585.78 / $31,622.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,772.37 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $7,762.47 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $7,762.47 / $11,481.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $10,232.93 / $10,715.19