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South Dakota rates for HCPCS 62146

Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.74 / $1,143.74 / $1,143.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.75 / $1,100.39 / $1,925.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,520.30 / $2,634.14 / $3,292.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.61 / $1,932.92 / $3,140.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.92 / $2,256.54 / $11,237.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.21 / $2,947.33 / $3,884.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.00 / $2,583.31 / $3,401.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.07 / $2,113.27 / $2,486.04
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
$1,353.92 / $2,468.90 / $3,022.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,466.19 / $2,901.50 / $3,017.50