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South Dakota rates for HCPCS 0107U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $15.04 / $15.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.04 / $15.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $31.99 / $31.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $28.72 / $35.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $18.12 / $76.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $14.40 / $24.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $29.26 / $31.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $31.49 / $41.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $38.54 / $43.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $9.60 / $19.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.00