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South Dakota rates for HCPCS 63066

Costovertebral Dcmprn Spine Cord Thoracic Ea Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.06 / $181.06 / $181.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.52 / $181.06 / $487.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.23 / $412.92 / $516.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.64 / $322.49 / $530.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.55 / $399.40 / $3,485.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.89 / $451.24 / $631.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.89 / $430.90 / $550.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.90 / $351.79 / $401.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.21 / $380.38 / $526.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.90 / $486.80 / $486.80