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South Dakota rates for HCPCS 0095T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.74 / $1,233.74 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.96 / $1,004.33 / $1,233.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.62 / $1,697.32 / $2,394.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.66 / $2,400.98 / $8,918.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,510.74 / $1,661.34 / $2,329.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.74 / $1,661.34 / $1,923.74
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
$1,257.66 / $2,142.38 / $3,210.37