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South Dakota rates for RC 0274

Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $73.34 / $4,000.00
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.00 / $4,000.00 / $4,000.00