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South Dakota rates for HCPCS K0901

Ko single upright pre ots

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.38 / $863.93 / $1,069.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.42 / $1,328.42 / $1,328.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.66 / $911.66 / $911.66