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South Dakota rates for HCPCS 39402

Mediastinoscopy With Lymph Node Biopsy/Ies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.44 / $363.44 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.23 / $607.69 / $1,065.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.36 / $950.23 / $1,232.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.29 / $679.18 / $774.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00