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South Dakota rates for HCPCS 64590

Ins/Rplc Perph Sac/Gstrc Npg/Rcvr Pckt Crtj&Conn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.16 / $264.58 / $5,554.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.60 / $426.96 / $687.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.25 / $726.90 / $46,229.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.51 / $487.76 / $804.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,000.00 / $18,000.00 / $18,000.00