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South Dakota rates for HCPCS 0092U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.60 / $1,741.60 / $1,741.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,959.97 / $4,959.97 / $4,959.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,887.79 / $4,519.33 / $5,649.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,348.17 / $2,817.16 / $11,818.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.88 / $2,239.19 / $3,732.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,985.60 / $4,549.93 / $4,896.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,988.06 / $4,896.22 / $6,493.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.00 / $5,994.34 / $6,835.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.96 / $2,239.19 / $2,488.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.00 / $2,488.00 / $2,488.00