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South Dakota rates for HCPCS 35879

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.96 / $917.96 / $917.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.16 / $1,551.35 / $2,463.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.00 / $2,150.38 / $2,820.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.32 / $1,536.52 / $1,751.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00