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South Dakota rates for HCPCS 26350

Rpr/Advmnt Flxr Tdn N/Z/2 W/O Fr Graft Ea Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.86 / $776.86 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $1,283.44 / $1,810.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.82 / $1,844.33 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.59 / $1,180.98 / $1,461.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00