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South Dakota rates for HCPCS 42894

Rescj Phrngl Wall Clsr W/Flp Or Flp W/Mvasc Anas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.91 / $2,241.91 / $2,241.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.69 / $3,385.12 / $6,255.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,680.06 / $5,479.25 / $7,323.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,697.94 / $3,951.16 / $4,570.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00