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South Dakota rates for HCPCS 63700

Repair Meningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.03 / $1,209.03 / $1,209.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.19 / $1,209.03 / $3,159.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,140.83 / $2,786.84 / $3,483.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.04 / $2,000.00 / $3,042.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.58 / $2,363.57 / $9,388.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.10 / $2,816.32 / $4,079.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.10 / $2,492.57 / $3,524.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.42 / $1,998.58 / $2,614.12
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
$1,164.49 / $2,179.44 / $3,390.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.30 / $3,173.00 / $3,173.00