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South Dakota rates for HCPCS 43752

Naso/Oro-Gastric Tube Plmt Req Phys&Fluor Gdnce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.08 / $37.08 / $3,073.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$18.54 / $18.54 / $18.54
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$7.42 / $7.42 / $7.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $74.04 / $111.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.01 / $98.03 / $497.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.28 / $67.52 / $76.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00