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South Dakota rates for HCPCS 20615

Aspiration & Injection Treatment Bone Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.63 / $261.51 / $261.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.74 / $218.88 / $458.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.76 / $457.72 / $718.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.78 / $369.91 / $599.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.92 / $556.29 / $1,894.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.02 / $402.96 / $665.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.02 / $432.36 / $665.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.43 / $315.30 / $482.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.13 / $449.73 / $699.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.60 / $380.00 / $585.79