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South Dakota rates for HCPCS 0076T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.76 / $598.76 / $598.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.92 / $598.76 / $598.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,821.88 / $5,880.09 / $7,277.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.22 / $963.05 / $1,605.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.32 / $1,413.56 / $7,345.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.37 / $2,622.27 / $8,720.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.55 / $2,622.27 / $10,867.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.51 / $1,413.56 / $2,198.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.30 / $1,170.90 / $1,206.09