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South Dakota rates for HCPCS 99455

Work Related/Med Dblt Xm Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.95 / $84.95 / $84.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $84.95 / $84.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.95 / $143.57 / $211.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.91 / $154.91 / $345.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.00 / $233.00 / $233.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00