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South Dakota rates for HCPCS 61521

Crnec Tum Infrattl/Pfossa Midline Tum Base Skull

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.66 / $2,851.66 / $2,851.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,194.55 / $4,819.31 / $8,095.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,561.18 / $7,403.61 / $9,807.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,018.96 / $5,432.41 / $6,238.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00