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South Dakota rates for HCPCS 65815

Paracen Ant Cham Rmvl Blood W/Wo Irrig&/Air In

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.15 / $696.23 / $696.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.89 / $563.29 / $857.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.74 / $1,368.29 / $1,841.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.54 / $765.80 / $1,550.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.91 / $1,210.59 / $3,552.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.47 / $1,378.44 / $1,974.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.52 / $1,258.64 / $1,713.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.71 / $918.60 / $1,225.23
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
$700.88 / $1,165.54 / $1,813.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.20 / $1,095.30 / $1,461.00