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South Dakota rates for HCPCS 63709

Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,778.28 / $2,818.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,454.71 / $2,454.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,862.09 / $2,187.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$426.58 / $426.58 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26