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South Dakota rates for HCPCS 15110

Epidrm Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.86 / $799.32 / $799.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.26 / $1,182.40 / $2,111.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.00 / $1,809.65 / $2,364.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.53 / $1,330.47 / $1,617.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00