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South Dakota rates for HCPCS 64629

Thermal Dstrj Intraosseous Bvn Ea Addl Lmbr/Sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.81 / $197.81 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.52 / $309.14 / $439.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.27 / $481.21 / $658.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.18 / $330.23 / $400.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00