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South Dakota rates for HCPCS 26770

Cltx Iphal Jt Dislc W/Manj W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.92 / $270.42 / $298.88
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$202.82 / $202.82 / $224.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.44 / $270.42 / $781.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.60 / $692.62 / $865.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.31 / $457.35 / $698.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.76 / $635.46 / $2,222.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $599.24 / $742.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $583.66 / $742.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $459.72 / $594.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.95 / $500.26 / $778.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.50 / $656.40 / $721.60