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South Dakota rates for HCPCS 62005

Elvtn Deprs Skl Fx Compound/Commind Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.32 / $1,163.32 / $1,163.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.58 / $1,163.32 / $3,735.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.67 / $2,679.32 / $3,349.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.68 / $1,916.49 / $3,257.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.83 / $2,447.62 / $9,895.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.50 / $2,998.77 / $3,953.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.00 / $2,716.94 / $3,461.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.33 / $2,190.26 / $2,530.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.80 / $2,720.66 / $3,290.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,509.90 / $2,952.80 / $3,070.90