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South Dakota rates for HCPCS 62190

Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.60 / $859.60 / $859.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.96 / $859.60 / $2,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.73 / $1,986.71 / $2,483.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.42 / $1,386.14 / $2,016.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.45 / $1,548.83 / $7,993.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.53 / $2,078.29 / $2,893.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.48 / $1,807.73 / $2,534.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.11 / $1,440.48 / $1,857.90
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
$845.45 / $1,548.83 / $2,409.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.10 / $2,168.40 / $2,255.10