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South Dakota rates for HCPCS 0040U

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.31 / $817.31 / $817.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.53 / $744.19 / $930.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.86 / $464.12 / $752.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.28 / $245.94 / $892.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.95 / $867.06 / $1,049.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.88 / $867.06 / $898.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.16 / $987.57 / $1,126.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.16 / $232.28 / $409.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.90 / $409.90 / $409.90