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South Dakota rates for HCPCS 41251

Rpr Lac 2.5 Cm/< Pst One-Third Tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.95 / $307.27 / $307.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.16 / $270.39 / $309.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.33 / $515.17 / $887.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $386.67 / $762.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.58 / $607.15 / $2,306.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.07 / $471.57 / $772.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.00 / $494.81 / $772.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.64 / $391.92 / $601.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.02 / $574.44 / $861.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.50 / $437.40 / $730.20