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South Dakota rates for HCPCS 0012U

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,745.20 / $4,745.20 / $4,745.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,752.62 / $4,745.20 / $5,931.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,804.60 / $8,804.60 / $8,804.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,882.78 / $4,882.78 / $4,882.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,773.40 / $3,773.40 / $3,773.40