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South Dakota rates for HCPCS 33268

Exclusion Laa Open Tm Strnt/Thrcm Any Method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.21 / $131.21 / $131.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.66 / $202.33 / $328.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.91 / $303.18 / $400.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.74 / $216.18 / $246.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00