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South Dakota rates for HCPCS 38765

Inguinofem Lmphadec Supfc W/Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.45 / $1,289.45 / $1,289.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.48 / $1,289.45 / $3,729.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,854.26 / $2,860.24 / $3,568.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.07 / $2,000.00 / $3,384.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.55 / $2,518.41 / $11,552.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.35 / $3,170.21 / $4,048.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.00 / $2,878.43 / $3,509.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.70 / $2,174.85 / $2,558.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.90 / $2,268.46 / $3,528.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,493.40 / $2,933.40 / $3,050.80