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South Dakota rates for HCPCS C1052

Hemostatic Agent, Gi, Topic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.98 / $660.98 / $660.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.98 / $1,117.06 / $1,811.09