go back

South Dakota rates for HCPCS 63707

Rpr Dural/Cerebrospinal Fluid Leak X Req Lam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.93 / $881.93 / $881.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.45 / $1,433.96 / $2,370.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.36 / $2,064.71 / $2,908.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.73 / $1,582.11 / $1,877.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$347.20 / $347.20 / $347.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00