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South Dakota rates for HCPCS 69717

Rplcmt Oi Implt Skull Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.53 / $549.53 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.39 / $549.53 / $3,162.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.99 / $1,269.93 / $1,587.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.65 / $1,269.69 / $2,982.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.66 / $2,229.44 / $7,713.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.92 / $1,913.31 / $10,297.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.99 / $1,773.00 / $2,551.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.09 / $1,093.26 / $1,889.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.34 / $1,967.20 / $3,060.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.50 / $1,253.50 / $1,303.59