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South Dakota rates for HCPCS 21627

Sternal Debridement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.90 / $536.90 / $536.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.83 / $907.36 / $1,412.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.29 / $1,213.25 / $1,683.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.69 / $916.68 / $1,078.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$199.34 / $199.34 / $199.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00