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South Dakota rates for HCPCS 39010

Mediast W/Expl Drg Rmvl Fb/Bx Tthrc Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.11 / $724.11 / $724.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.83 / $1,209.77 / $2,064.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.16 / $1,878.94 / $2,422.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.12 / $1,328.08 / $1,526.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$292.51 / $292.51 / $292.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00