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South Dakota rates for HCPCS 13131

Repair Complex F/C/C/M/N/Ax/G/H/F 1.1-2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.16 / $386.34 / $386.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.56 / $332.94 / $695.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.83 / $683.66 / $1,112.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.77 / $547.47 / $990.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.26 / $952.05 / $2,884.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.18 / $595.67 / $1,041.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.14 / $691.65 / $1,048.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.11 / $552.72 / $749.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.26 / $704.07 / $1,095.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.60 / $528.10 / $840.00