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South Dakota rates for HCPCS 21557

Rad Resect Tumor Soft Tiss Neck/Ant Thorax <5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.71 / $932.71 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.73 / $1,363.75 / $2,480.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.81 / $2,155.92 / $2,896.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.60 / $1,602.51 / $1,866.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00