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South Dakota rates for HCPCS Q4237

Cryo-Cord, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.38 / $499.38 / $499.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.47 / $499.38 / $499.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.47 / $424.47 / $424.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.38 / $692.04 / $843.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.42 / $499.42 / $1,897.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.47 / $424.47 / $424.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.42 / $499.42 / $549.36
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.44 / $449.44 / $449.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.44 / $449.44 / $449.44