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South Dakota rates for HCPCS 61330

Decompression of orbit only, transcranial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,737.80 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,754.23 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $12,589.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,801.89 / $3,890.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,019.95 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,235.94 / $4,570.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,168.69 / $4,365.16