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South Dakota rates for HCPCS 78496

Card Bl Pool Gated 1 Stdy Rest Rt Vent Ejct Frct

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $43.40 / $43.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.03 / $95.41 / $119.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.71 / $78.68 / $126.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $100.04 / $262.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.70 / $72.93 / $87.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $66.09 / $94.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $83.30 / $83.30