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South Dakota rates for HCPCS 39401

Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.29 / $279.29 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.08 / $467.64 / $815.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.14 / $729.53 / $943.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.49 / $520.87 / $593.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00