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South Dakota rates for HCPCS 49505

Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.36 / $7,585.56 / $20,504.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.97 / $512.55 / $6,116.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.61 / $1,145.28 / $1,431.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.19 / $805.05 / $1,437.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.39 / $998.32 / $4,067.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.11 / $1,264.72 / $3,960.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.00 / $1,160.09 / $1,409.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.38 / $870.88 / $1,031.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$193.93 / $193.93 / $193.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$193.93 / $193.93 / $193.93
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
$468.72 / $907.87 / $1,412.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.90 / $1,251.59 / $1,251.59