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South Dakota rates for HCPCS 20665

Removal of tongs or halo applied by another individual

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.94 / $121.63 / $121.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.91 / $186.66 / $276.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.09 / $255.05 / $497.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.28 / $174.11 / $233.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00