go back

South Dakota rates for HCPCS 0069U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.20 / $357.20 / $357.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.39 / $357.20 / $357.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.90 / $757.90 / $757.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.19 / $690.66 / $863.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.64 / $430.27 / $697.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.80 / $228.00 / $828.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.36 / $694.93 / $832.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $694.93 / $832.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.40 / $915.53 / $1,043.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.60 / $228.00 / $380.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $380.00 / $380.00