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South Dakota rates for HCPCS 62147

Cranioplasty W/Autograft > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.07 / $1,303.07 / $1,303.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.00 / $2,202.19 / $3,736.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.34 / $3,351.59 / $4,421.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,815.07 / $2,480.67 / $2,828.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00