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South Dakota rates for HCPCS 0054T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.30 / $163.30 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $163.30 / $163.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $172.71 / $213.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.44 / $275.98 / $378.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $311.25 / $1,242.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.82 / $251.02 / $311.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.27 / $311.25 / $396.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $322.20 / $434.08