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South Dakota rates for HCPCS 62258

Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.70 / $1,023.70 / $1,023.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.91 / $1,730.05 / $2,877.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.40 / $2,636.59 / $3,461.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.12 / $1,923.94 / $2,202.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00