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South Dakota rates for HCPCS 38555

Exc Cstic Hygroma Ax/Crv W/Dp Neurovasc Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.75 / $1,006.75 / $1,006.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.85 / $1,006.75 / $2,902.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.32 / $2,229.01 / $2,786.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.98 / $1,686.33 / $2,663.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.33 / $1,972.93 / $11,940.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.00 / $2,628.18 / $4,968.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.00 / $2,258.40 / $2,759.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.36 / $1,710.74 / $2,012.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.33 / $1,969.02 / $2,743.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.30 / $2,307.40 / $2,399.69