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South Dakota rates for HCPCS 41017

Xtroral I&D Absc Cst/Hmtma Floor Mouth Submndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.69 / $457.63 / $457.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.63 / $641.60 / $1,183.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.00 / $1,053.26 / $2,389.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.69 / $672.13 / $890.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00