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South Dakota rates for HCPCS 38790

Injection procedure; lymphangiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.30 / $82.30 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.47 / $139.09 / $220.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $190.47 / $248.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.66 / $140.15 / $159.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00