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South Dakota rates for HCPCS 61864

Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode recording; each additional array (List separately in addition to primary procedure)

Facilitymedian $339 · 10th–90th $251–$4,3650%20%40%10th90th$339Professionalmedian $501 · 10th–90th $110–$5750%20%40%10th90th$501$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $501.19 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $602.56 / $616.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $501.19 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26