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South Dakota rates for HCPCS 21615

Excision 1st &/Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.42 / $591.42 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.60 / $1,034.89 / $1,629.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.98 / $1,367.53 / $1,901.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.28 / $1,047.83 / $1,215.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00