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South Dakota rates for HCPCS 15937

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.18 / $990.18 / $990.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.36 / $1,531.03 / $2,674.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.42 / $2,266.92 / $2,758.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.14 / $1,685.75 / $1,981.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00