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South Dakota rates for HCPCS 30802

Abltj Sof Tiss Inf Turbs Uni/Bi Supfc Intramural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.14 / $302.75 / $302.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.21 / $277.00 / $648.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.95 / $577.51 / $806.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.42 / $410.28 / $744.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.76 / $743.11 / $2,065.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.58 / $637.15 / $1,150.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.53 / $551.26 / $736.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.67 / $401.76 / $538.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.64 / $499.10 / $776.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.20 / $455.40 / $628.10