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South Dakota rates for HCPCS 49406

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.10 / $3,073.00 / $8,874.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.79 / $785.83 / $2,256.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.37 / $1,311.70 / $2,356.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.99 / $1,144.35 / $1,648.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00