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South Dakota rates for HCPCS Q4146

TENSIX, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $605.02 / $980.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $38.40 / $38.40