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South Dakota rates for HCPCS 63250

Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,664.23 / $2,664.23 / $2,664.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.44 / $2,664.23 / $7,081.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,692.84 / $6,108.92 / $7,636.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.99 / $4,435.12 / $7,613.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,704.52 / $5,781.15 / $20,873.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.88 / $6,321.71 / $9,172.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.88 / $6,199.35 / $7,950.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,655.40 / $5,125.32 / $5,843.45
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
$3,028.22 / $5,505.86 / $7,636.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,796.90 / $7,092.70 / $7,092.70