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South Dakota rates for HCPCS 65273

Rpr Lac Cjnc Moblj & Reargmt W/Hospization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.21 / $403.21 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.23 / $403.21 / $662.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.88 / $864.80 / $1,081.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.23 / $503.90 / $1,001.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.79 / $685.57 / $1,194.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.03 / $818.03 / $986.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.03 / $885.87 / $1,004.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.57 / $618.09 / $727.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.73 / $664.35 / $1,066.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.60 / $867.00 / $867.00