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South Dakota rates for HCPCS 61490

Craniotomy Lobotomy W/Cingulotomy

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,515.90 / $3,727.99 / $4,659.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.55 / $3,086.21 / $3,923.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,314.60 / $8,314.60 / $8,314.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,406.00 / $3,406.00 / $3,406.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,634.00 / $2,951.00 / $3,566.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.46 / $2,127.94 / $2,206.15