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South Dakota rates for HCPCS D0470

Diagnostic Casts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $20.54 / $20.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.75 / $58.54 / $164.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.22 / $221.34 / $221.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.44 / $70.64 / $77.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.64 / $57.44 / $70.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.40 / $95.40 / $95.40