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South Dakota rates for HCPCS 61580

Craniofacial Ant Cranial Fossa W/O Orbital Exntj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,414.96 / $2,414.96 / $2,414.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,449.30 / $3,433.94 / $6,516.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,698.56 / $6,036.89 / $7,776.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,988.61 / $4,216.31 / $4,842.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00