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South Dakota rates for HCPCS 12015

Simple Repair F/E/E/N/L/M 7.6cm-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.62 / $166.99 / $562.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.35 / $244.70 / $458.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.85 / $290.94 / $445.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.52 / $250.31 / $335.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00