go back

South Dakota rates for HCPCS 61576

Trnsrl Skul Bse/Br Stm/Cord Bx/Dcmp/ Splt Tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,822.62 / $3,822.62 / $3,822.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,252.04 / $3,822.62 / $12,242.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,139.52 / $8,774.21 / $10,967.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,207.04 / $5,495.95 / $9,097.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,012.70 / $7,022.23 / $29,534.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,206.79 / $9,357.75 / $12,977.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,492.00 / $8,139.52 / $11,304.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,584.45 / $6,549.21 / $8,235.04
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
$3,723.16 / $7,021.37 / $10,922.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,169.50 / $9,611.10 / $9,995.60