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South Dakota rates for HCPCS 63706

Repair Myelomeningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.40 / $1,694.40 / $1,694.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.50 / $1,694.40 / $4,447.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,997.29 / $3,901.73 / $4,877.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,082.21 / $2,739.42 / $4,393.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.70 / $3,496.69 / $13,189.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.08 / $3,982.67 / $5,750.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.08 / $3,699.25 / $4,967.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.94 / $2,885.79 / $3,677.63
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
$1,684.70 / $3,069.05 / $4,774.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,648.30 / $4,463.89 / $4,463.89