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South Dakota rates for HCPCS 63600

Creation Les Spinal Cord Stereotactic Method Prq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.35 / $1,000.35 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.90 / $1,000.35 / $2,637.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,774.55 / $2,310.03 / $2,887.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.94 / $1,559.57 / $2,442.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.69 / $1,878.66 / $7,801.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $2,162.62 / $2,580.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.00 / $1,914.02 / $2,936.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.25 / $1,625.83 / $2,180.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.06 / $1,816.31 / $2,825.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,163.30 / $2,646.90 / $2,646.90