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South Dakota rates for HCPCS 48552

Bkbench Rcnstj Cdvr Pncrs Algrft Ven Anast Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.17 / $206.17 / $206.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.58 / $206.17 / $229.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.70 / $489.27 / $611.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.15 / $373.16 / $641.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.49 / $445.82 / $1,675.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.90 / $527.59 / $728.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $510.19 / $625.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.05 / $397.75 / $453.48
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
$245.20 / $404.89 / $629.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.90 / $550.40 / $550.40