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South Dakota rates for HCPCS 25263

Rpr Tdn/Musc Flxr F/Arm&/Wrist Sec 1 Ea Tdn/Mus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.61 / $638.61 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.23 / $638.61 / $1,667.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.00 / $1,455.36 / $1,819.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.12 / $1,097.91 / $1,629.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.40 / $1,274.13 / $5,321.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,652.81 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.22 / $1,418.93 / $1,708.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.03 / $1,063.58 / $1,266.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.40 / $1,115.55 / $1,735.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.50 / $1,537.40 / $1,537.40