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South Dakota rates for HCPCS 41016

Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.03 / $457.63 / $457.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.65 / $625.10 / $1,154.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $1,069.96 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.92 / $677.30 / $890.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00