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South Dakota rates for HCPCS 63740

Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.89 / $914.89 / $914.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.55 / $914.89 / $2,378.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.33 / $2,114.48 / $2,643.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.13 / $1,449.55 / $2,443.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.20 / $1,848.53 / $7,339.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.01 / $2,144.64 / $3,067.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.01 / $1,972.47 / $2,648.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.84 / $1,667.65 / $1,969.81
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
$968.28 / $1,848.53 / $2,549.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.10 / $2,390.90 / $2,390.90