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South Dakota rates for HCPCS 0440T

Abltj Perc Cryoabltj Img Gdn Uxtr/Perph Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.24 / $197.24 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.24 / $197.24 / $206.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $254.52 / $315.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.94 / $333.34 / $565.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.57 / $396.58 / $1,501.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.12 / $331.80 / $3,533.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.76 / $287.87 / $371.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.95 / $381.33 / $556.78