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South Dakota rates for HCPCS 55845

Prostect Retropub Rad W/Wo Nrv Spar & Bi Plv Lym

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.46 / $1,216.46 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.48 / $2,055.82 / $3,652.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,123.71 / $3,354.60 / $4,141.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.38 / $2,271.48 / $2,633.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$508.06 / $508.06 / $508.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00