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South Dakota rates for HCPCS 61564

Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,344.23 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,162.28 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,981.07 / $16,982.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,168.69 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,265.80 / $6,025.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $5,754.40