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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
$794.33 / $794.33 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $831.76 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,513.56 / $10,964.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,905.46 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,584.89 / $2,344.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $2,041.74