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South Dakota rates for HCPCS Q4215

Axolotl Ambient Or Axolotl Cryo 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.86 / $548.86 / $548.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.86 / $927.57 / $1,503.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $5,280.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $5,520.00