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South Dakota rates for HCPCS 61736

Litt Les Icr Single Trajectory 1 Simple Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.36 / $859.36 / $859.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.98 / $1,561.41 / $2,170.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.11 / $2,556.23 / $2,809.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.61 / $2,040.68 / $2,400.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00