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South Dakota rates for HCPCS A4648

Tissue Marker Implantable Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.14 / $555.19 / $1,705.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.14 / $121.70 / $153.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.13 / $88.13 / $110.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.06 / $183.35 / $297.26