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South Dakota rates for HCPCS 39540

Repair, diaphragmatic hernia (other than neonatal), traumatic; acute

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.38 / $797.38 / $797.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.19 / $1,336.42 / $2,266.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.08 / $2,076.00 / $2,672.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.11 / $1,459.78 / $1,676.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00