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South Dakota rates for HCPCS 39200

Resection Of Mediastinal Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.10 / $791.10 / $791.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.29 / $791.10 / $2,524.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.65 / $1,849.19 / $2,288.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.59 / $1,322.07 / $2,300.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.06 / $1,683.17 / $11,002.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.81 / $2,060.96 / $2,670.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.50 / $1,884.98 / $2,304.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.63 / $1,469.57 / $1,675.47
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
$1,105.56 / $2,228.04 / $2,327.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.10 / $1,955.40 / $2,033.70