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South Dakota rates for HCPCS L0810

Halo Procedure Cervical Halo Incorporated Into Jacket Vest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.67 / $2,237.67 / $2,237.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.69 / $2,075.33 / $2,237.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.81 / $1,815.81 / $3,410.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,733.50 / $3,733.50 / $4,666.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.77 / $3,507.31 / $15,138.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.46 / $1,935.14 / $3,448.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,835.76 / $3,410.50 / $5,576.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,793.22 / $3,458.50 / $6,517.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.35 / $2,964.76 / $3,524.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.11 / $2,019.44 / $3,703.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,038.44 / $3,038.44 / $3,038.44