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South Dakota rates for HCPCS 0674T

Laps Insj New/Rplcmt Perm Isdss Agmntj Car Funcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,511.00 / $3,511.00 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,865.00 / $7,865.00 / $7,865.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,325.94 / $39,325.94 / $45,880.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,865.00 / $7,865.00 / $7,865.00