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South Dakota rates for HCPCS 29010

Application Risser Jacket Localizer Body Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.47 / $282.26 / $282.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.97 / $259.31 / $432.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.34 / $455.77 / $834.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.75 / $365.06 / $568.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.28 / $522.71 / $2,085.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.04 / $389.06 / $647.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.51 / $418.43 / $613.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.19 / $334.78 / $563.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.32 / $426.14 / $744.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.70 / $386.30 / $683.90