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South Dakota rates for HCPCS 39220

Resection of mediastinal tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.13 / $1,044.13 / $1,044.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.50 / $1,740.99 / $2,990.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.14 / $2,707.36 / $3,479.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.63 / $1,921.04 / $2,196.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$421.84 / $421.84 / $421.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00