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South Dakota rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.34 / $147.09 / $263.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.93 / $249.42 / $671.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.88 / $434.35 / $758.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.53 / $326.33 / $622.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.68 / $562.78 / $1,954.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.33 / $385.81 / $647.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.38 / $450.83 / $701.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.41 / $361.86 / $505.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.04 / $455.09 / $707.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.89 / $331.50 / $567.29