go back

South Dakota rates for HCPCS 0065U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $17.00 / $17.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $32.64 / $40.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.07 / $20.48 / $85.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $16.28 / $27.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.71 / $33.08 / $39.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.72 / $39.43 / $47.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.09 / $43.58 / $49.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $16.28 / $18.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.09 / $18.09 / $18.09