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South Dakota rates for HCPCS 12034

Repair Intermediate S/A/T/E 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.34 / $332.37 / $3,087.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.56 / $282.99 / $780.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.13 / $583.35 / $963.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.39 / $444.67 / $855.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.02 / $768.88 / $2,487.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.18 / $506.18 / $825.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $593.61 / $902.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.54 / $459.67 / $646.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.31 / $556.98 / $907.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.00 / $449.00 / $724.70