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South Dakota rates for HCPCS Q4160

Nushield Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.94 / $130.94 / $163.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.39 / $117.17 / $117.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.14 / $895.70 / $1,452.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.31 / $530.00 / $583.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.18 / $131.07 / $636.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.18 / $121.88 / $636.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,047.05 / $3,047.05 / $3,047.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $3,062.82
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00