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South Dakota rates for HCPCS 61690

Intracranial Arven Malfrmj Dural Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,973.62 / $1,973.62 / $1,973.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.90 / $1,973.62 / $6,430.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,538.45 / $4,564.78 / $5,673.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,210.07 / $3,335.42 / $5,605.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.06 / $4,208.92 / $15,440.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,134.10 / $5,106.77 / $6,753.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,351.00 / $4,678.89 / $5,908.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.53 / $3,773.04 / $4,317.41
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
$2,874.68 / $5,386.93 / $5,628.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,283.00 / $5,038.89 / $5,240.39