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South Dakota rates for HCPCS 61253

Burr hole(s) or trephine, infratentorial, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.85 / $911.85 / $911.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.27 / $911.85 / $2,920.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.90 / $2,102.01 / $2,627.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.79 / $1,521.42 / $2,360.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.80 / $1,679.64 / $7,093.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.03 / $2,217.60 / $3,087.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.00 / $1,928.90 / $2,704.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.05 / $1,616.92 / $1,978.22
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
$959.80 / $1,656.20 / $2,576.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,962.50 / $2,308.80 / $2,401.10