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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
$1,288.25 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,951.21 / $3,019.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,238.72 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53