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South Dakota rates for HCPCS 12056

Repair Intermediate F/E/E/N/L&/Muc 20.1-30.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.65 / $571.41 / $571.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.70 / $492.54 / $571.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.55 / $1,079.05 / $1,652.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.54 / $813.89 / $1,282.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.78 / $1,271.53 / $4,273.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.18 / $936.73 / $1,415.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.87 / $1,038.82 / $1,568.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.40 / $756.26 / $1,124.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.78 / $969.18 / $1,592.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.10 / $844.40 / $1,260.70