go back

South Dakota rates for HCPCS 78635

Cerebrospinal Fluid Flow W/O Matl Ventriclgraphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.70 / $332.70 / $332.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.82 / $332.70 / $332.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.26 / $714.42 / $893.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.08 / $471.21 / $763.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.45 / $465.34 / $764.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.14 / $739.23 / $781.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.98 / $676.76 / $905.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.49 / $514.05 / $597.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.89 / $429.01 / $715.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.29 / $608.60 / $608.60