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South Dakota rates for HCPCS 42415

Exc Prtd Tum/Prtd Glnd Lat Dsj&Prsrv Facial Nr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.47 / $6,849.00 / $11,740.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.05 / $1,796.02 / $2,992.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.68 / $2,618.96 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.13 / $1,775.41 / $2,069.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$390.05 / $390.05 / $390.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$390.05 / $390.05 / $390.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00