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South Dakota rates for HCPCS 61798

Stereotactic Radiosurgery 1 Complex Cranial Les

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.26 / $1,255.26 / $1,255.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.97 / $1,140.53 / $2,109.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,889.31 / $2,903.79 / $3,612.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.40 / $1,816.70 / $3,547.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.50 / $2,571.82 / $9,811.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $3,245.38 / $4,279.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.88 / $2,976.38 / $3,743.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.10 / $2,380.56 / $2,735.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$521.96 / $521.96 / $521.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.71 / $2,552.75 / $3,567.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.00 / $3,192.90 / $3,320.60