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South Dakota rates for HCPCS 28476

Prq Skel Fixj Metar Fx W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.29 / $403.29 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.34 / $612.15 / $915.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.63 / $953.00 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.19 / $595.21 / $778.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00