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South Dakota rates for HCPCS Q4233

SurFactor or NuDyn, per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,120.10 / $5,120.10 / $5,120.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,120.10 / $8,652.99 / $14,029.10