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South Dakota rates for HCPCS 63307

Vcrpec Les 1 Seg Idrl Lmbr/Sac Transprtl/Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,173.21 / $2,173.21 / $2,173.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.72 / $2,173.21 / $5,759.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,832.20 / $4,988.58 / $6,235.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,670.05 / $3,583.19 / $5,730.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.44 / $4,380.18 / $16,999.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,246.85 / $5,175.58 / $7,456.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,246.85 / $4,729.17 / $6,457.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.12 / $3,764.74 / $4,754.72
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
$2,134.44 / $3,986.69 / $6,201.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,716.89 / $5,771.20 / $5,771.20