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South Dakota rates for HCPCS L0820

Halo Procedure Cervical Halo Incorporated Into Plaster Body Jacket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.23 / $1,760.23 / $1,760.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.39 / $1,760.23 / $1,795.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.80 / $1,638.80 / $2,727.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,937.00 / $2,966.37 / $3,671.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.42 / $3,034.26 / $12,562.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.33 / $1,674.14 / $2,888.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,267.50 / $2,727.04 / $4,670.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.83 / $2,765.43 / $5,211.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.80 / $2,564.89 / $3,048.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.60 / $1,347.84 / $2,183.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.55 / $2,429.55 / $2,429.55