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South Dakota rates for HCPCS 61584

Orbitocranial Ant Cranial Fossa W/O Orbit Exntj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,687.12 / $2,687.12 / $2,687.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,879.30 / $3,826.75 / $7,304.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.22 / $6,781.74 / $8,985.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,401.60 / $4,879.47 / $5,645.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00