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South Dakota rates for HCPCS 63744

Rplcmt Irrigation/Revj Lumbosarach Shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.53 / $635.53 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.10 / $1,015.38 / $1,739.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,632.90 / $10,106.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.90 / $1,176.26 / $1,423.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00