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South Dakota rates for HCPCS 63702

Repair Meningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.56 / $1,316.56 / $1,316.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.33 / $1,316.56 / $3,451.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,331.16 / $3,034.59 / $3,793.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,617.99 / $2,134.39 / $3,577.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.53 / $2,616.58 / $10,237.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.11 / $3,093.32 / $4,458.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.11 / $2,772.49 / $3,852.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.63 / $2,426.71 / $2,854.77
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
$1,370.59 / $2,380.27 / $3,702.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.00 / $3,465.10 / $3,465.10