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South Dakota rates for HCPCS 0016M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,280.25 / $3,280.25 / $3,280.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.91 / $3,280.25 / $3,280.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,640.88 / $3,640.88 / $4,551.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.52 / $3,951.30 / $6,406.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.71 / $2,093.78 / $6,831.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.56 / $4,536.52 / $7,647.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,187.56 / $4,780.79 / $7,188.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,990.17 / $8,407.57 / $9,586.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.64 / $1,779.71 / $3,489.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,489.63 / $3,489.63 / $3,489.63