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South Dakota rates for HCPCS Q4230

Cogenex Flowable Amnion, per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,413.10 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,023.29