go back

South Dakota rates for HCPCS 61590

Infratemporal Mid Cranial Fossa W/Wo Disarticltn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,921.08 / $2,921.08 / $2,921.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,959.20 / $4,164.41 / $8,010.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,590.80 / $7,361.31 / $9,439.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,788.12 / $5,116.78 / $5,851.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00