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South Dakota rates for HCPCS 55842

Prostect Retropubic Rad W/Wo Nrv Spar W/Lymph Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.26 / $1,047.26 / $1,047.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.82 / $1,860.28 / $3,133.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.75 / $2,884.90 / $3,561.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.80 / $1,949.47 / $2,262.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00