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South Dakota rates for HCPCS 47360

Mgmt Lvr Hemrrg Cplx Sutr Wnd/Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.57 / $1,674.57 / $1,674.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.44 / $1,674.57 / $1,836.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,898.84 / $3,987.43 / $4,984.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $2,830.02 / $4,866.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.65 / $3,548.46 / $13,486.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,770.62 / $4,199.16 / $5,841.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,656.00 / $4,101.14 / $5,021.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.83 / $3,140.04 / $3,645.28
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
$1,951.65 / $3,247.45 / $5,051.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,616.30 / $4,424.60 / $4,424.60