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South Dakota rates for HCPCS 14302

Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.07 / $1,798.97 / $10,193.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.07 / $209.50 / $3,944.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.22 / $469.02 / $586.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.49 / $321.16 / $821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.85 / $452.26 / $1,569.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $482.97 / $661.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.64 / $467.98 / $576.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.73 / $370.17 / $415.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$81.59 / $81.59 / $81.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$81.59 / $81.59 / $81.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.88 / $384.44 / $598.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.20 / $448.50 / $466.40