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South Dakota rates for HCPCS 62162

Nundsc Icra Fenestexc Cyst W/Ventric Cath Drg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.32 / $1,716.32 / $1,716.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.59 / $1,716.32 / $5,559.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,946.41 / $3,959.22 / $4,933.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,481.92 / $4,844.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.19 / $3,640.74 / $13,402.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.46 / $4,432.89 / $5,858.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,736.00 / $4,058.20 / $5,127.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.62 / $3,258.98 / $3,743.61
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
$2,106.19 / $3,698.99 / $4,878.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,713.80 / $4,369.20 / $4,544.00