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South Dakota rates for HCPCS 26542

Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.32 / $746.32 / $746.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.99 / $1,240.42 / $1,733.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,785.50 / $4,813.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.50 / $1,127.30 / $1,418.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00