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South Dakota rates for HCPCS Q4172

Puraply or puraply am

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.50 / $96.50 / $120.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.38 / $73.09 / $90.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.92 / $77.92 / $77.92