go back

South Dakota rates for HCPCS 0135U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.39 / $490.39 / $490.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.99 / $1,396.99 / $1,396.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.17 / $1,272.31 / $1,590.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.19 / $793.25 / $1,286.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.29 / $420.34 / $1,378.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.03 / $1,281.15 / $1,535.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.67 / $1,281.15 / $1,535.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.80 / $1,687.86 / $1,924.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.24 / $357.29 / $700.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.56 / $700.56 / $700.56