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South Dakota rates for HCPCS 0026U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,384.00 / $3,384.00 / $3,384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.00 / $2,808.00 / $3,384.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,176.88 / $7,176.88 / $7,176.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,170.76 / $6,538.44 / $8,173.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,397.68 / $4,076.28 / $6,608.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.00 / $2,160.00 / $7,058.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.56 / $6,853.42 / $9,216.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,320.00 / $6,987.60 / $7,889.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,148.00 / $8,673.48 / $9,889.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.00 / $1,836.00 / $3,600.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,600.00 / $3,600.00 / $3,600.00