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South Dakota rates for HCPCS 62143

Replacement of bone flap or prosthetic plate of skull

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $963.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.53 / $1,615.72 / $2,671.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.83 / $2,471.13 / $3,248.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.30 / $1,787.60 / $2,081.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$390.95 / $390.95 / $390.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00