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South Dakota rates for HCPCS 93653

Compre Ep Eval Abltj 3d Mapg Tx Svt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.56 / $32,464.35 / $35,456.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.60 / $1,422.24 / $7,150.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.09 / $1,764.52 / $2,098.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.49 / $1,387.86 / $1,582.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,150.00 / $7,150.00 / $7,150.00