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South Dakota rates for HCPCS 20604

Arthrocnt Aspir&/Inj Small Jt/Bursaw/Us Rec Rprt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.36 / $84.49 / $1,072.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.71 / $68.48 / $135.32
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$198.81 / $198.81 / $198.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.04 / $128.55 / $239.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.27 / $106.04 / $188.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.94 / $169.22 / $618.24
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$300.00 / $300.00 / $300.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.28 / $116.16 / $203.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.28 / $122.96 / $203.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.44 / $112.40 / $161.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.11 / $132.76 / $213.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.20 / $109.10 / $196.30