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South Dakota rates for HCPCS 99475

Initial Ped Critical Care 2 Thru 5 Years

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.98 / $817.60 / $1,120.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.95 / $1,046.56 / $1,102.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.12 / $941.32 / $1,231.97