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South Dakota rates for HCPCS 01636

Anes Arthrs Interthoracoscapular Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $880.00 / $880.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $50.00 / $960.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.00 / $1,115.09 / $1,248.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.50 / $84.50 / $3,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $110.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.27 / $90.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.20 / $1,024.00 / $1,064.00