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South Dakota rates for HCPCS 43645

Laps Gstr Rstcv Px W/Byp&Sm Int Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.69 / $1,648.69 / $1,648.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.58 / $2,988.62 / $5,084.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.48 / $4,147.93 / $5,713.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.29 / $3,108.71 / $3,610.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00