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South Dakota rates for HCPCS 12014

Simple Repair F/E/E/N/L/M 5.1cm-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.92 / $139.02 / $530.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.92 / $135.93 / $227.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.43 / $196.72 / $400.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.72 / $203.09 / $366.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.97 / $327.20 / $1,175.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.07 / $310.27 / $369.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.57 / $278.23 / $386.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.08 / $205.46 / $275.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.06 / $247.54 / $385.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.60 / $161.00 / $309.00