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South Dakota rates for HCPCS 45990

Anrct Xm Surg Req Anes General Spi/Edrl Dx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.21 / $2,612.15 / $2,612.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.77 / $175.52 / $293.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.16 / $257.55 / $3,285.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.82 / $181.02 / $207.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00