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South Dakota rates for HCPCS 0420T

Dstrj Neurofibromas Xtnsv Trnk Extremities >100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.32 / $420.32 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.32 / $420.32 / $527.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.75 / $552.75 / $690.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.03 / $754.63 / $1,055.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.69 / $787.19 / $3,394.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.82 / $615.90 / $1,044.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.82 / $563.92 / $840.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.12 / $787.19 / $1,125.78