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South Dakota rates for HCPCS 49010

Expl Retroperitoneum W/Wo Bx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.69 / $824.69 / $824.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.50 / $1,363.42 / $2,543.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.94 / $2,091.46 / $2,863.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.74 / $1,564.22 / $1,802.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$346.17 / $346.17 / $346.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00