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South Dakota rates for HCPCS 22015

I&D Deep Abscess Pst Spine Lumbar Sac/Lumbosac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.90 / $923.90 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.05 / $1,464.11 / $2,345.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.07 / $2,116.44 / $2,947.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.72 / $1,545.54 / $1,881.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00