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South Dakota rates for HCPCS K0902

Ko Double Upright Pre Ots

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.75 / $806.74 / $998.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.93 / $1,155.93 / $1,155.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.29 / $793.29 / $793.29