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South Dakota rates for HCPCS 0133U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.20 / $483.20 / $483.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.10 / $1,376.10 / $1,376.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.72 / $1,254.03 / $1,567.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.49 / $781.61 / $1,267.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.05 / $414.17 / $1,358.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.77 / $1,262.36 / $1,512.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.35 / $1,262.36 / $1,512.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.11 / $1,663.12 / $1,896.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.92 / $352.05 / $690.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.29 / $690.29 / $690.29