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South Dakota rates for HCPCS G0417

Sat Biopsy Prostate 21-40

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.88 / $1,336.88 / $1,671.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.00 / $1,886.00 / $1,886.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.32 / $1,612.32 / $2,498.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.07 / $1,814.07 / $1,814.07