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South Dakota rates for HCPCS 45114

Prctect Prtl W/Anast Abdl & Transsac Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.12 / $1,619.12 / $1,619.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.46 / $1,619.12 / $1,774.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,809.34 / $3,864.34 / $4,830.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.44 / $2,736.31 / $4,738.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.44 / $3,451.98 / $13,073.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,696.78 / $4,059.50 / $5,653.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.00 / $3,980.32 / $4,865.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,197.96 / $3,057.07 / $3,537.90
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
$1,898.59 / $3,137.38 / $4,880.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,509.70 / $4,294.30 / $4,294.30