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South Dakota rates for HCPCS 48146

Pncrtect Dstl Nr-Tot W/Prsrv Duo Chld-Typ Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.17 / $1,691.17 / $1,691.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.70 / $1,691.17 / $1,845.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,927.72 / $4,027.17 / $5,033.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.17 / $2,858.08 / $4,893.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.78 / $3,581.98 / $13,583.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,791.29 / $4,209.43 / $5,882.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.00 / $4,125.87 / $5,053.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.35 / $3,157.45 / $3,667.28
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
$1,970.09 / $3,266.30 / $5,080.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.10 / $4,451.30 / $4,451.30