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South Dakota rates for HCPCS 24149

Rad Rescj Capsl Tiss&Htrtpc B1 Elbw Contrct Rls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.46 / $1,175.46 / $1,175.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.41 / $1,913.03 / $3,065.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,172.06 / $3,114.47 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.63 / $1,983.49 / $2,333.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$435.74 / $435.74 / $435.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00