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South Dakota rates for HCPCS 63040

Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.33 / $1,289.33 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.19 / $1,289.33 / $3,291.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,281.48 / $2,969.93 / $3,712.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,731.10 / $2,196.38 / $3,598.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.71 / $2,771.56 / $10,948.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.99 / $3,060.23 / $4,279.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.99 / $2,908.10 / $3,730.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.57 / $2,367.21 / $2,714.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.77 / $2,639.58 / $3,690.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,692.80 / $3,294.70 / $3,294.70