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South Dakota rates for HCPCS 20704

Manual Prep&Insj I-Artic Drug Delivery Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.50 / $141.50 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.15 / $217.95 / $332.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.93 / $337.62 / $466.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.37 / $255.33 / $291.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00