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South Dakota rates for HCPCS 41250

Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.76 / $278.41 / $278.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.77 / $332.34 / $701.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.61 / $471.37 / $889.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.72 / $347.54 / $545.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00