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South Dakota rates for HCPCS 24640

Cltx Rdl Head Sublxtj Chld Nursemaid Elbw W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.76 / $265.32 / $361.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $108.08 / $221.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.41 / $229.83 / $303.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.05 / $166.19 / $271.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.68 / $243.68 / $1,011.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.96 / $202.52 / $271.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.41 / $209.09 / $274.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.07 / $154.61 / $230.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.59 / $184.05 / $290.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.40 / $187.70 / $245.80