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South Dakota rates for HCPCS 26341

Maniplatn Palar Fascial Crd Post Inj Single Cord

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $121.31 / $121.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.93 / $91.64 / $143.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.68 / $224.97 / $341.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.62 / $165.79 / $255.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.88 / $229.53 / $873.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.69 / $193.43 / $271.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.69 / $192.83 / $262.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.57 / $161.30 / $230.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.88 / $194.32 / $297.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.40 / $187.70 / $279.50