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South Dakota rates for HCPCS 34715

Opn Ax/Subcla Art Expos Dlvr Evasc Prosth Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.77 / $294.77 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.70 / $460.10 / $745.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.08 / $693.27 / $913.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.14 / $494.21 / $563.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00