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South Dakota rates for HCPCS 0045U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,640.62 / $3,640.62 / $3,640.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,594.91 / $3,020.94 / $3,640.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,721.32 / $7,721.32 / $7,721.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,563.11 / $7,034.57 / $8,793.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,655.34 / $4,385.39 / $7,110.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.23 / $2,323.80 / $7,593.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,997.84 / $7,373.14 / $9,914.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,647.60 / $7,517.49 / $8,488.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,538.39 / $9,331.21 / $10,639.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,975.23 / $3,873.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $3,873.00