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South Dakota rates for HCPCS 61867

Strtctc Impltj Nstim Eltrd W/Record 1st Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.01 / $2,061.01 / $2,061.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,307.57 / $2,979.94 / $5,832.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.98 / $5,332.21 / $7,057.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,892.36 / $3,916.93 / $4,506.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$860.67 / $860.67 / $860.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$860.67 / $860.67 / $860.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00