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South Dakota rates for HCPCS 63273

Lam Exc Ispi Les Oth/Thn Neo Idrl Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.45 / $1,698.45 / $1,698.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.14 / $1,698.45 / $4,482.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,999.68 / $3,904.85 / $4,881.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,087.44 / $2,870.38 / $4,781.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.74 / $3,600.66 / $13,260.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.18 / $4,001.75 / $5,797.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,654.18 / $3,892.32 / $5,018.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.13 / $3,217.79 / $3,702.86
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
$1,886.06 / $3,172.01 / $4,820.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,673.40 / $4,494.50 / $4,494.50