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South Dakota rates for HCPCS 0015M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.05 / $1,227.05 / $1,227.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.19 / $1,227.05 / $1,227.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.00 / $1,362.00 / $1,702.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.00 / $1,478.07 / $2,396.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.74 / $783.22 / $2,555.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.44 / $1,696.98 / $2,860.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.44 / $1,788.36 / $2,689.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.68 / $3,145.03 / $3,586.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $783.22 / $1,305.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.36 / $1,305.36 / $1,305.36