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South Dakota rates for HCPCS 29015

Application Risser Jacket Localizer Body W/Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.90 / $302.02 / $302.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.47 / $258.27 / $523.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.99 / $510.31 / $889.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.97 / $388.27 / $707.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.06 / $636.73 / $2,232.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.04 / $440.52 / $738.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.44 / $479.04 / $738.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.02 / $366.62 / $602.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.11 / $514.28 / $799.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.20 / $433.40 / $731.80