go back

South Dakota rates for HCPCS 63268

Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.83 / $1,301.83 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.68 / $2,193.39 / $3,687.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.57 / $3,150.31 / $4,401.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.68 / $2,479.77 / $2,909.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00