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South Dakota rates for HCPCS 69714

Impl Oi Implt Skull Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.83 / $485.83 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.14 / $1,123.09 / $2,844.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.91 / $1,728.26 / $21,269.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.07 / $965.82 / $1,803.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00