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South Dakota rates for HCPCS 67415

Fine Needle Aspiration Orbital Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.48 / $107.48 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.18 / $136.22 / $279.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.48 / $237.95 / $1,539.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.88 / $172.32 / $202.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00