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South Dakota rates for HCPCS 22905

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.02 / $1,278.02 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.90 / $1,823.43 / $3,461.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.85 / $2,896.58 / $4,114.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.74 / $2,222.75 / $2,607.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00