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South Dakota rates for HCPCS 0519T

Removal&Rplcmt Pg Wcs Lv Pacg Both Components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.44 / $768.44 / $768.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.04 / $768.44 / $768.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.38 / $976.04 / $1,207.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.17 / $1,038.08 / $1,614.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.86 / $669.76 / $5,388.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.21 / $977.53 / $1,225.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.92 / $904.34 / $1,342.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.11 / $900.53 / $1,256.28