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South Dakota rates for HCPCS 30210

Displacement Therapy Proetz Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.69 / $132.63 / $276.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.93 / $299.95 / $439.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.01 / $400.93 / $1,128.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.00 / $282.80 / $397.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $218.96 / $293.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.01 / $285.97 / $418.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $236.80 / $342.30