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South Dakota rates for HCPCS 62326

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.40 / $139.90 / $139.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.99 / $187.27 / $247.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.33 / $301.70 / $1,123.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.99 / $185.10 / $264.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00