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South Dakota rates for HCPCS 0100T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.31 / $1,829.31 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.57 / $1,741.00 / $1,829.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,861.47 / $2,861.47 / $3,488.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.15 / $2,471.25 / $4,651.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.15 / $3,374.05 / $5,248.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.68 / $3,454.81 / $4,755.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.22 / $3,575.69 / $4,755.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,651.00 / $8,651.00 / $8,651.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,966.33 / $3,313.23 / $5,248.52