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South Dakota rates for HCPCS 0109T

Quant Senaory Test&Interpj/Xtr W/Ht-Pn Stimuli

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.60 / $32.60 / $32.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.34 / $32.60 / $46.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $15.53 / $19.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.34 / $46.20 / $72.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.94 / $93.04 / $248.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $62.09 / $79.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $62.09 / $68.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $92.27 / $129.22