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South Dakota rates for HCPCS 63707

Repair of dural/cerebrospinal fluid leak, not requiring laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,479.11 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,041.74 / $2,089.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $1,862.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$354.81 / $354.81 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26