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South Dakota rates for HCPCS 61576

Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,073.80 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $8,912.51 / $11,220.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,128.61 / $9,120.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $6,760.83 / $29,512.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $8,128.31 / $8,912.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $6,760.83 / $8,317.64
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
$3,715.35 / $7,079.46 / $10,471.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $9,549.93 / $10,000.00