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South Dakota rates for HCPCS 0123U

Mechanical fragility, RBC, shear stress and spectral analysis profiling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.17 / $336.17 / $336.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.17 / $336.17 / $336.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.86 / $712.86 / $712.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $649.54 / $811.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.54 / $404.94 / $1,698.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.39 / $321.87 / $536.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.16 / $654.01 / $703.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.50 / $703.80 / $933.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.63 / $861.64 / $982.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $182.39 / $429.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.63 / $357.63 / $357.63