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South Dakota rates for HCPCS 61698

Cplx Intracranial Arysm Vertebrobasilar Crcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,131.45 / $4,131.45 / $4,131.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,532.97 / $4,131.45 / $13,305.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,460.18 / $9,556.00 / $11,826.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,656.87 / $5,970.72 / $11,893.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,144.14 / $9,002.24 / $32,424.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,649.65 / $10,724.22 / $14,275.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,473.00 / $10,034.16 / $12,479.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,146.76 / $7,968.00 / $9,084.42
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
$5,144.14 / $7,735.18 / $12,032.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,012.10 / $10,602.50 / $11,026.60