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South Dakota rates for HCPCS 45520

Perirectal injection of sclerosing solution for prolapse

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $142.69 / $162.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.85 / $116.87 / $466.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.57 / $329.93 / $1,196.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.79 / $183.02 / $414.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $190.96 / $305.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.82 / $285.79 / $444.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.30 / $95.80 / $371.40