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South Dakota rates for HCPCS 22901

Exc Tumor Soft Tissue Abdl Wall Subfascial 5cm/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.36 / $646.36 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.68 / $923.80 / $1,750.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.69 / $1,768.15 / $2,197.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.34 / $1,116.84 / $1,313.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00