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South Dakota rates for HCPCS 63043

Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Ea Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.36 / $583.36 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.59 / $583.36 / $849.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.28 / $620.94 / $776.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.92 / $924.67 / $1,571.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.08 / $367.44 / $4,441.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.28 / $1,163.47 / $1,862.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.28 / $728.87 / $1,337.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.05 / $408.95 / $488.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.10 / $556.10 / $556.10