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South Dakota rates for HCPCS 38564

Lmtd Lmphadec Staging Spx Rpr Aortic&/Splenic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.10 / $692.10 / $692.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.50 / $1,169.65 / $1,837.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.02 / $1,698.45 / $2,187.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.70 / $1,180.13 / $1,375.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00