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South Dakota rates for HCPCS 99476

Subsequent Ped Critical Care 2 Thru 5 Years

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.99 / $492.32 / $674.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.12 / $630.09 / $663.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.44 / $568.02 / $747.06