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South Dakota rates for HCPCS 0103U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.02 / $872.02 / $872.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,504.85 / $3,167.39 / $3,959.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.94 / $1,974.68 / $3,201.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.16 / $670.79 / $2,199.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,854.35 / $2,250.44 / $3,822.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.73 / $2,199.94 / $3,592.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,493.85 / $4,201.70 / $4,790.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.16 / $732.46 / $1,117.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.95 / $1,743.95 / $1,743.95