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South Dakota rates for HCPCS Q4149

Excellagen, 0.1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.00 / $174.00 / $174.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.90 / $174.00 / $174.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.90 / $147.90 / $147.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.47 / $235.25 / $294.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $145.00 / $661.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.15 / $174.15 / $174.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.90 / $147.90 / $147.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $145.00 / $159.50
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.00 / $145.00 / $145.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $145.00 / $145.00