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South Dakota rates for HCPCS 63199

Lam Cordotomy Sctj Both Tracts 2 Stages Thoracic

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,051.88 / $4,458.79 / $5,573.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,256.18 / $11,256.18 / $11,256.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,693.59 / $2,693.59 / $3,530.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.39 / $3,426.17 / $3,646.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.06 / $2,790.72 / $2,884.49