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South Dakota rates for HCPCS 61700

Simple Intracranial Arysm Carotid Circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,053.56 / $3,053.56 / $3,053.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,437.27 / $5,160.52 / $8,728.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,896.56 / $7,945.36 / $10,510.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,336.91 / $5,864.66 / $6,710.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00