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South Dakota rates for HCPCS 61692

Intracranial Arven Malfrmj Dural Cmpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,266.02 / $3,266.02 / $3,266.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,793.29 / $3,266.02 / $10,721.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,483.85 / $7,559.66 / $9,356.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,677.82 / $5,519.57 / $9,391.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,059.76 / $7,084.52 / $25,619.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,246.26 / $8,473.53 / $11,266.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,846.00 / $7,877.08 / $9,851.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,611.29 / $6,294.17 / $7,176.06
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
$3,721.44 / $6,766.26 / $9,399.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,118.90 / $8,375.20 / $8,710.20