go back

South Dakota rates for HCPCS 61120

Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.51 / $695.51 / $695.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.54 / $695.51 / $2,188.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.33 / $1,609.62 / $2,012.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.62 / $1,120.07 / $1,915.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.00 / $1,436.80 / $5,389.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.32 / $1,782.57 / $2,333.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.00 / $1,610.61 / $2,044.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.96 / $1,284.56 / $1,499.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.37 / $1,253.03 / $1,949.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.60 / $1,750.10 / $1,820.10