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South Dakota rates for HCPCS 26372

Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.96 / $939.96 / $939.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.98 / $939.96 / $2,068.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.18 / $2,085.65 / $2,607.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.64 / $1,561.61 / $2,264.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.02 / $1,758.12 / $6,790.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,249.71 / $10,504.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.70 / $1,883.70 / $2,498.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.02 / $1,480.65 / $1,788.03
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
$789.61 / $1,598.20 / $2,486.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.80 / $2,170.30 / $2,170.30