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South Dakota rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.18 / $222.18 / $222.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.66 / $355.78 / $649.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.17 / $542.23 / $775.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.13 / $431.22 / $491.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00