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South Dakota rates for HCPCS 15756

Free Muscle/Myocutaneous Flap W/Mvasc Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,168.33 / $2,168.33 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,087.94 / $3,455.93 / $6,124.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,526.14 / $5,252.11 / $7,044.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,869.52 / $3,880.38 / $4,428.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$852.04 / $852.04 / $852.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00