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South Dakota rates for HCPCS 61605

Rescj/Exc Les Infratempor Fossa Space Apex Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.21 / $2,128.21 / $2,128.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,129.69 / $3,025.12 / $5,750.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.56 / $5,321.79 / $6,737.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,687.80 / $3,650.62 / $4,219.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00