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South Dakota rates for HCPCS 11960

Insertion Tissue Expander Incl Sbsq Xpnsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.10 / $985.10 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.50 / $1,452.56 / $2,574.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $2,491.00 / $3,929.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.15 / $1,563.64 / $2,001.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00