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South Dakota rates for HCPCS 35905

Excision of infected graft; thorax

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,862.09 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,570.40 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $3,019.95 / $11,748.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,715.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,818.38 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,235.94 / $4,677.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $3,981.07