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South Dakota rates for HCPCS 15936

Exc Sac Pr Ulc Prepj Musc/Myoq Flap/Skn Grf Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.03 / $851.03 / $851.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.38 / $1,344.75 / $2,308.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.64 / $1,959.23 / $2,388.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.52 / $1,476.03 / $1,741.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00