go back

South Dakota rates for HCPCS 39561

Rescj Diaphragm W/Complex Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.56 / $1,159.56 / $1,159.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.88 / $1,941.62 / $3,231.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,854.11 / $3,004.34 / $3,843.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.60 / $2,081.76 / $2,447.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00