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South Dakota rates for HCPCS 62322

Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.73 / $139.11 / $139.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.73 / $120.22 / $213.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.30 / $220.90 / $379.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.36 / $178.92 / $253.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.59 / $352.51 / $1,240.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.74 / $308.20 / $1,123.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $236.37 / $354.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.86 / $179.68 / $255.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.70 / $270.30 / $421.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $183.70 / $310.20