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South Dakota rates for HCPCS 61619

Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneous flap (including galea, temporalis, frontalis or occipitalis muscle)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.30 / $1,344.30 / $1,344.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.34 / $1,344.30 / $4,143.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,078.61 / $3,091.39 / $3,848.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.42 / $2,000.00 / $3,753.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.68 / $2,734.46 / $16,192.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,123.69 / $3,439.32 / $4,393.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,414.00 / $3,150.63 / $3,862.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.99 / $2,444.96 / $2,800.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.48 / $2,719.69 / $3,781.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,778.10 / $3,268.40 / $3,399.10