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South Dakota rates for HCPCS 43887

Gstr Rstcv Px Opn Rmvl Subq Port Component Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.32 / $307.32 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.12 / $307.32 / $324.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.78 / $742.48 / $928.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.61 / $498.08 / $900.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.44 / $605.54 / $2,442.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.81 / $809.39 / $2,305.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.81 / $734.17 / $891.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.60 / $556.28 / $659.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.49 / $631.70 / $895.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.90 / $800.10 / $800.10