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South Dakota rates for HCPCS 20102

Expl Penetrating Wound Spx Abdomen/Flank/Back

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.19 / $627.17 / $627.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.01 / $664.25 / $1,254.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.37 / $793.59 / $1,484.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.30 / $722.60 / $1,153.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00