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South Dakota rates for HCPCS 62115

Rdctj Craniomegalic Skull W/O Graft/Cranioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.32 / $1,545.32 / $1,545.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.55 / $1,545.32 / $4,910.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,270.20 / $3,562.05 / $4,452.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.67 / $2,235.11 / $3,666.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.17 / $2,797.20 / $12,026.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.60 / $3,759.64 / $5,235.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,377.00 / $3,270.20 / $4,584.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.61 / $2,660.22 / $3,352.88
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
$1,699.24 / $3,433.28 / $4,351.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,326.20 / $3,913.20 / $4,069.70