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South Dakota rates for HCPCS 41015

Xtroral I&D Absc Cst/Hmtma Floor Mouth Sublngl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.13 / $388.96 / $388.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.72 / $347.89 / $412.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.76 / $851.72 / $1,171.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.89 / $585.16 / $1,140.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.83 / $957.74 / $2,982.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.65 / $747.94 / $1,068.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.00 / $799.86 / $1,068.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.61 / $591.91 / $783.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.26 / $771.92 / $1,149.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.20 / $718.50 / $950.90