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South Dakota rates for HCPCS Q4189

Artacent Ac 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.02 / $25.02 / $25.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $25.02 / $25.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.02 / $38.06 / $45.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $23.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.54 / $26.54 / $26.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $23.63