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South Dakota rates for HCPCS 49495

Rpr 1st Ingun Hrna Full Term Inft <6 Mo Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.58 / $372.58 / $372.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.66 / $372.58 / $638.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.79 / $895.19 / $1,118.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.56 / $662.68 / $1,073.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.45 / $748.04 / $4,720.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.65 / $988.80 / $3,960.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.65 / $908.28 / $1,104.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.95 / $634.85 / $807.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.66 / $748.04 / $1,105.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.90 / $979.90 / $979.90