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South Dakota rates for HCPCS 63091

Vcrpec Transprtl/Rpr Dcmprn Thrc Lmbr/Sac Ea Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.46 / $161.46 / $161.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.20 / $285.83 / $466.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.30 / $397.93 / $545.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.57 / $297.32 / $344.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$66.66 / $66.66 / $66.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00