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South Dakota rates for HCPCS 43886

Gstr Rstcv Px Opn Revj Subq Port Component Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.58 / $341.58 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.66 / $341.58 / $360.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.67 / $823.51 / $1,029.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.07 / $523.33 / $998.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.48 / $673.10 / $2,705.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.63 / $896.31 / $4,599.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.63 / $815.45 / $994.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.37 / $616.45 / $727.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.42 / $673.10 / $996.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $883.30 / $883.30