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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
$794.33 / $794.33 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $2,238.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,905.46 / $1,949.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,479.11 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26