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South Dakota rates for HCPCS 61557

Craniectomy Craniosynostosis Bifrontal Bone Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.14 / $1,541.14 / $1,541.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.82 / $1,500.06 / $1,541.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,532.91 / $3,548.80 / $4,436.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,885.91 / $2,328.67 / $4,308.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.31 / $3,241.48 / $14,280.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.30 / $3,971.78 / $5,234.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,584.00 / $3,621.23 / $4,585.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.26 / $2,896.36 / $3,350.30
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
$1,881.31 / $3,135.52 / $4,356.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,323.60 / $3,910.10 / $4,066.60