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South Dakota rates for HCPCS 42660

Dilat&Cathj Salivary Duct W/Wo Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.98 / $110.14 / $110.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.08 / $94.90 / $121.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.84 / $217.62 / $284.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.86 / $144.16 / $325.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.24 / $263.36 / $819.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.22 / $208.94 / $297.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.41 / $216.61 / $297.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.27 / $156.12 / $213.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $224.36 / $336.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.40 / $187.70 / $234.80