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South Dakota rates for HCPCS Q4186

Epifix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $278.10 / $3,225.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $167.94 / $190.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.30 / $215.30 / $269.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.33 / $185.60 / $201.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $254.06 / $400.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $699.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.40 / $205.83 / $237.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.40 / $190.00 / $221.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.43 / $165.43 / $165.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $166.29
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $150.33 / $150.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $150.33