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South Dakota rates for HCPCS 14060

Adjt Tis Trnsfr/Rearrgmt E/N/E/L Dfct 10 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.92 / $753.32 / $8,035.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.20 / $718.68 / $1,424.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.26 / $1,774.79 / $2,218.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.84 / $1,111.67 / $2,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.64 / $1,605.39 / $7,000.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.00 / $1,716.91 / $2,354.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.00 / $1,580.72 / $2,039.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.02 / $1,264.29 / $1,503.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.92 / $1,379.95 / $2,146.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.90 / $1,459.50 / $1,685.80