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South Dakota rates for HCPCS 62148

Incise&Retrieval Subq Cranioplasty Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.86 / $110.86 / $110.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.79 / $110.86 / $122.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.18 / $255.74 / $316.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.55 / $187.35 / $325.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.97 / $244.94 / $883.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.44 / $289.17 / $388.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $270.57 / $337.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.16 / $215.61 / $245.82
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
$157.38 / $237.35 / $323.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.90 / $286.89 / $298.39