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South Dakota rates for HCPCS 29804

Arthroscopy Temporomandibular Joint Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.41 / $606.41 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.08 / $1,015.45 / $1,687.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,493.86 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.32 / $1,057.63 / $1,167.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00