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South Dakota rates for HCPCS 49412

Placement Intrstl Dev Opn W/Img Guid 1/Mlt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.03 / $72.03 / $72.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.15 / $72.03 / $80.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.61 / $171.40 / $214.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.13 / $121.73 / $223.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.33 / $151.10 / $584.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.33 / $184.77 / $255.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.33 / $179.03 / $218.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.54 / $138.66 / $159.13
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
$96.69 / $141.37 / $219.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.90 / $193.20 / $193.20