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South Dakota rates for HCPCS Q4100

Skin Substitute, Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,541.01 / $40,541.01 / $40,541.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $248.07 / $248.07