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South Dakota rates for HCPCS 61735

Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,548.82 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,630.27 / $12,589.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,388.44 / $3,548.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,754.23 / $3,162.28
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
$1,621.81 / $2,884.03 / $4,073.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,715.35 / $3,801.89