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South Dakota rates for HCPCS 45320

Proctosgmdsc Rigid Ablation Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.55 / $215.81 / $215.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.34 / $190.21 / $215.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.13 / $283.39 / $624.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.59 / $273.24 / $628.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $371.56 / $1,626.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.95 / $443.49 / $2,532.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $297.00 / $541.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.42 / $283.06 / $427.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $358.65 / $557.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.70 / $250.50 / $519.00