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South Dakota rates for HCPCS 45123

Prctect Prtl W/O Anast Prnl Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.07 / $1,024.07 / $1,024.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.15 / $1,730.68 / $3,127.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.25 / $2,562.27 / $3,437.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.69 / $1,882.75 / $2,158.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00