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South Dakota rates for HCPCS 63195

Lam Cordotomy Sctj 1 Spinothalmic Tract Thoracic

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,846.16 / $3,131.98 / $3,914.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,846.44 / $7,846.44 / $7,846.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.90 / $1,958.90 / $2,545.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.67 / $2,545.31 / $2,976.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.11 / $1,952.60 / $2,098.96