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South Dakota rates for HCPCS 62142

Rmvl Bone Flap/Prosthetic Plate Skull

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.58 / $827.58 / $827.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.91 / $1,357.00 / $2,269.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.50 / $2,122.23 / $2,773.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.77 / $1,514.97 / $1,782.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$332.01 / $332.01 / $332.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00