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South Dakota rates for HCPCS 00790

Anes Intraperitoneal Upper Abdomen W/Laps Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $440.00 / $440.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.59 / $84.50 / $3,700.00