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South Dakota rates for HCPCS 61797

Strtctc Radiosurgery Ea Addl Cranial Les Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.86 / $192.86 / $192.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.19 / $192.86 / $322.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.14 / $444.59 / $550.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.22 / $279.17 / $566.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.25 / $405.90 / $1,876.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.67 / $504.05 / $674.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.77 / $470.87 / $587.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.79 / $377.52 / $427.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$83.39 / $83.39 / $83.39
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
$243.54 / $439.40 / $560.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.20 / $499.10 / $519.00