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South Dakota rates for HCPCS 63173

Lam W/Drg Intrmedulry Cyst/Syrinx Prtl/Pleural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.89 / $1,570.89 / $1,570.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.83 / $1,570.89 / $4,144.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,777.64 / $3,615.80 / $4,519.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,654.80 / $4,424.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.77 / $3,342.86 / $12,265.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,462.29 / $3,699.28 / $5,355.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.29 / $3,593.80 / $4,636.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.10 / $2,976.43 / $3,424.04
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
$1,751.02 / $2,866.16 / $4,458.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,396.80 / $4,156.10 / $4,156.10