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South Dakota rates for HCPCS 93702

Bis Extracellular Fluid Alys Lymphedema Assmnt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.37 / $125.41 / $145.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.07 / $257.00 / $316.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.82 / $250.42 / $903.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.12 / $237.61 / $339.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.30 / $188.77 / $229.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.64 / $230.92 / $294.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.90 / $246.30 / $289.80