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South Dakota rates for HCPCS 86891

Autol Bld/Component Collj Storage Salvage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.13 / $131.13 / $131.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.10 / $131.13 / $131.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.66 / $188.66 / $188.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.36 / $188.66 / $235.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.43 / $152.27 / $602.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.47 / $98.33 / $207.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.15 / $244.13 / $246.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.04 / $203.56 / $378.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.79 / $73.79 / $73.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $98.33 / $145.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.50 / $103.40 / $103.40