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South Dakota rates for HCPCS 15733

Musc Myoq/Fscq Flap Head&Neck W/Named Vasc Pedcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.22 / $983.22 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.25 / $968.76 / $1,619.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.85 / $2,303.02 / $2,878.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.01 / $1,448.92 / $2,618.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.54 / $2,176.23 / $7,602.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.63 / $2,714.17 / $4,599.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.63 / $2,414.14 / $3,136.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.83 / $1,760.64 / $2,007.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.46 / $2,053.84 / $2,880.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.70 / $2,164.30 / $2,250.90