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South Dakota rates for HCPCS 78650

Cerebrospinal Fluid Leak Detection&Localizatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.27 / $267.27 / $267.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.76 / $267.27 / $267.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.80 / $573.24 / $716.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.54 / $378.15 / $613.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.04 / $450.61 / $727.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.35 / $652.36 / $1,069.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.00 / $618.77 / $744.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.57 / $446.81 / $562.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.80 / $340.06 / $692.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.10 / $488.30 / $488.30