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South Dakota rates for HCPCS 21558

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.03 / $1,303.03 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.02 / $2,116.27 / $3,518.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.83 / $2,896.58 / $3,546.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.45 / $2,249.44 / $2,616.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00