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South Dakota rates for HCPCS 78481

Card Bl Pool Planar 1 Stdy Wal Motn Eject Fract

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.94 / $174.89 / $174.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.58 / $378.54 / $473.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.03 / $258.64 / $399.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.71 / $399.45 / $506.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.10 / $287.02 / $316.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.13 / $236.21 / $362.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.80 / $324.39 / $324.39