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South Dakota rates for HCPCS 64628

Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.29 / $432.29 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.47 / $662.38 / $937.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.11 / $1,220.47 / $22,952.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.05 / $700.17 / $864.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00