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South Dakota rates for HCPCS 52630

Trurl Rescj Residual/Regrowth Obstr Prstate Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.26 / $388.26 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.74 / $656.16 / $1,063.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.00 / $1,056.42 / $4,555.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.23 / $676.93 / $796.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00