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South Dakota rates for HCPCS 0055T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.86 / $190.86 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.61 / $199.21 / $432.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $172.71 / $213.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.83 / $336.66 / $681.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.55 / $356.04 / $1,553.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.82 / $293.26 / $363.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.68 / $363.59 / $462.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.55 / $329.28 / $486.84