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South Dakota rates for HCPCS 0017M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,359.60 / $2,359.60 / $2,359.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.84 / $1,957.96 / $2,359.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,619.00 / $2,619.00 / $3,273.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,369.14 / $2,842.31 / $4,608.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.21 / $1,506.13 / $5,480.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,012.25 / $3,263.27 / $5,501.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,012.25 / $3,815.52 / $5,480.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,589.60 / $6,047.85 / $6,896.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,280.21 / $2,510.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.21 / $2,510.21 / $2,510.21