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South Dakota rates for HCPCS 63196

Lam Cordotomy Sctj Both Spinothalmic Tracts Crv

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,306.36 / $3,638.40 / $4,548.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,115.20 / $9,115.20 / $9,115.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,178.92 / $2,178.92 / $2,857.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.26 / $2,771.31 / $2,862.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.87 / $2,267.00 / $2,333.19