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South Dakota rates for HCPCS 62142

Removal of bone flap or prosthetic plate of skull

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,905.46 / $1,995.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $1,778.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26