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South Dakota rates for HCPCS 39560

Rescj Diaphragm W/Simple Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.45 / $748.45 / $748.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.56 / $1,251.78 / $2,082.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.51 / $1,935.98 / $2,472.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.27 / $1,339.68 / $1,566.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00