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South Dakota rates for HCPCS 61250

Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.10 / $801.10 / $801.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.97 / $801.10 / $2,544.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.10 / $1,848.03 / $2,310.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.51 / $1,320.77 / $2,224.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.62 / $1,654.84 / $6,214.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.07 / $2,055.46 / $2,700.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.00 / $1,865.60 / $2,367.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.83 / $1,492.85 / $1,732.40
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
$1,050.95 / $1,732.45 / $2,254.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.60 / $2,021.90 / $2,102.80