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South Dakota rates for HCPCS 21925

Biopsy Soft Tissue Back/Flank Deep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.27 / $502.46 / $502.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.33 / $710.95 / $1,148.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.73 / $1,029.93 / $1,664.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.49 / $742.08 / $969.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00