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South Dakota rates for HCPCS 21602

Excision Ch Wal Tum W/Rib W/O Medstnl Lymphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.56 / $1,490.56 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,790.86 / $2,334.26 / $3,415.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.86 / $3,567.39 / $4,803.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.12 / $2,636.14 / $3,005.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00