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South Dakota rates for HCPCS 61559

Xtn Crnec Mlt Sutr Craniosynostosis W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,177.71 / $2,177.71 / $2,177.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.98 / $2,177.71 / $7,028.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,644.74 / $5,007.28 / $6,259.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.69 / $3,376.53 / $6,129.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.38 / $4,596.17 / $17,002.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,391.97 / $5,339.91 / $7,435.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,663.26 / $4,644.74 / $6,505.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,876.78 / $4,124.64 / $4,750.18
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
$3,162.45 / $5,471.63 / $6,184.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,712.39 / $5,544.00 / $5,765.70