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South Dakota rates for HCPCS 28295

Corrj Hlx Vlgs Bncty Sesmdc Prox Metar Osteot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.79 / $1,103.90 / $1,103.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.56 / $1,291.00 / $1,865.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.86 / $2,216.54 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.20 / $1,355.25 / $1,996.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00