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South Dakota rates for HCPCS 33264

Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.02 / $421.02 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.82 / $650.21 / $1,086.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.40 / $957.04 / $37,731.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.58 / $677.48 / $772.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,651.00 / $8,651.00 / $8,651.00