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South Dakota rates for HCPCS 49215

Exc Presac/Sacrococcygeal Tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.07 / $1,994.07 / $1,994.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.27 / $1,994.07 / $2,235.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,475.43 / $4,780.56 / $5,975.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.94 / $3,369.98 / $5,784.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,505.85 / $4,277.85 / $16,131.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,341.12 / $5,007.22 / $6,851.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,250.00 / $4,831.83 / $5,874.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,424.16 / $3,690.65 / $4,294.77
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
$2,352.82 / $3,860.68 / $6,005.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,260.60 / $5,212.89 / $5,212.89