go back

South Dakota rates for HCPCS 61618

Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lata, adipose tissue, homologous or synthetic grafts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.92 / $1,198.92 / $1,198.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.59 / $2,000.00 / $3,339.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,887.11 / $3,066.19 / $3,993.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.09 / $2,209.40 / $2,552.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00