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South Dakota rates for HCPCS 0017U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.16 / $86.16 / $86.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.41 / $71.48 / $86.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.78 / $182.78 / $182.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.63 / $166.46 / $208.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.52 / $103.78 / $168.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $57.72 / $199.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.28 / $184.92 / $200.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $193.90 / $206.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.07 / $220.84 / $251.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $57.72 / $105.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.66 / $91.66 / $91.66