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South Dakota rates for HCPCS 22900

Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.57 / $552.57 / $552.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.82 / $789.35 / $1,490.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.01 / $1,498.01 / $2,197.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.11 / $951.33 / $1,119.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00