go back

South Dakota rates for HCPCS 61315

Craniectomy Hmtma Infratentorial Intracerebellar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,874.14 / $1,874.14 / $1,874.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,092.53 / $3,167.30 / $5,292.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,974.50 / $4,845.97 / $6,395.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,613.41 / $3,551.98 / $4,088.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$777.66 / $777.66 / $777.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00