go back

South Dakota rates for HCPCS 61770

Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.73 / $1,471.73 / $1,471.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.19 / $1,471.73 / $4,779.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,382.42 / $3,406.49 / $4,228.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.64 / $2,487.21 / $4,163.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.98 / $3,127.31 / $12,721.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,685.00 / $4,294.72 / $5,406.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.00 / $3,491.65 / $4,401.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.34 / $2,802.37 / $3,213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.98 / $3,019.96 / $4,187.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,188.20 / $3,750.80 / $3,900.90