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South Dakota rates for HCPCS 0630T

Perq Njx Algc Cell&/Prdct Uni/Bi Ct Lmbr Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.20 / $72.20 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $72.20 / $72.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.54 / $119.70 / $194.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.72 / $153.38 / $552.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.15 / $111.52 / $136.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $111.52 / $136.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.36 / $138.44 / $215.35