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South Dakota rates for HCPCS 61591

Infratempo Mid Cranial Fossa W/Wo Dcompr&/Mobi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,946.34 / $2,946.34 / $2,946.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,040.14 / $4,212.78 / $8,140.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,615.82 / $7,439.97 / $9,484.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.04 / $5,254.87 / $5,998.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00