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South Dakota rates for HCPCS 65870

Severing Ads Ant Seg Incal Spx Ant Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.41 / $634.41 / $634.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.41 / $768.72 / $1,551.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.01 / $1,368.36 / $1,821.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.98 / $969.51 / $1,142.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00