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South Dakota rates for HCPCS 63172

Lam W/Drg Intrmedullary Cyst/Syrinx Subarachnoid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.06 / $1,289.06 / $1,289.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.38 / $1,289.06 / $3,400.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.67 / $2,971.49 / $3,714.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.89 / $2,168.66 / $3,635.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.54 / $2,757.28 / $10,274.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.37 / $3,034.24 / $4,385.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.37 / $2,887.88 / $3,797.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.05 / $2,444.38 / $2,810.13
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
$1,444.29 / $2,391.19 / $3,619.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.80 / $3,410.90 / $3,410.90