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South Dakota rates for HCPCS 45111

Prctect Prtl Rescj Rectum Tabdl Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.15 / $990.15 / $990.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.66 / $1,673.35 / $2,855.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.58 / $2,461.07 / $3,363.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.80 / $1,825.89 / $2,108.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00