go back

South Dakota rates for HCPCS 63287

Lam Bx/Exc Ispi Neo Idrl Imed Thoracolmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,472.44 / $2,472.44 / $2,472.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.94 / $2,472.44 / $6,559.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,358.88 / $5,674.19 / $7,092.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.35 / $4,229.88 / $7,040.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.42 / $5,351.56 / $19,353.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,946.38 / $5,876.83 / $8,490.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,946.38 / $5,733.25 / $7,358.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,383.23 / $4,742.55 / $5,413.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.42 / $4,543.97 / $7,068.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.80 / $6,571.30 / $6,571.30