go back

South Dakota rates for HCPCS 61333

Expl Orbit Transcranial Approach W/Rmvl Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.02 / $1,822.02 / $1,822.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.94 / $1,822.02 / $5,969.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,184.79 / $4,227.18 / $5,231.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.72 / $3,079.21 / $4,912.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.90 / $3,830.57 / $14,256.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.34 / $4,715.14 / $6,245.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.00 / $4,352.22 / $5,464.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.84 / $3,224.06 / $3,987.49
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
$2,188.90 / $3,648.16 / $5,209.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,955.70 / $4,653.80 / $4,840.00