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South Dakota rates for HCPCS 0490T

Autol Regn Cell Tx Scldr Mlt Inj 1/> Hands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.46 / $531.46 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.67 / $531.46 / $531.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.61 / $803.61 / $803.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.78 / $854.77 / $1,423.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.55 / $1,215.44 / $4,051.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.04 / $894.06 / $1,246.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.61 / $883.72 / $1,023.32
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
$551.55 / $1,087.83 / $1,279.80