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South Dakota rates for HCPCS 62117

Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,905.46 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,168.69 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $13,803.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,801.89 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,388.44 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,467.37 / $5,011.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,570.88 / $4,677.35