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South Dakota rates for HCPCS 62201

Ventriculocisternostomy 3rd Vntrc Neurondsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.22 / $1,122.22 / $1,122.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.88 / $1,855.10 / $3,081.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.36 / $2,876.00 / $3,764.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.47 / $2,067.25 / $2,418.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00