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South Dakota rates for HCPCS 23552

Optx Acromclav Dislc Acute/Chronic W/Fascial Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.79 / $649.79 / $649.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.89 / $1,097.50 / $1,702.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.77 / $1,605.90 / $10,882.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.91 / $1,091.00 / $1,283.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$242.06 / $242.06 / $242.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00