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South Dakota rates for HCPCS 65272

Rpr Lac Cjnc Moblj& Reargmt W/O Hospitalization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.39 / $574.16 / $574.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.60 / $466.08 / $922.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.76 / $1,006.99 / $1,512.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.60 / $561.63 / $1,277.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.26 / $954.26 / $2,629.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.65 / $1,068.88 / $1,628.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.01 / $933.17 / $1,412.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.88 / $682.25 / $1,005.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.46 / $919.24 / $1,463.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.60 / $807.60 / $1,198.70