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South Dakota rates for HCPCS 0152U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.63 / $1,998.63 / $1,998.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.55 / $1,658.44 / $1,998.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,054.14 / $3,861.96 / $4,827.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,006.70 / $2,407.48 / $3,903.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.35 / $1,275.72 / $4,184.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,743.72 / $3,720.85 / $4,659.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,551.44 / $3,231.82 / $4,379.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,040.47 / $5,122.64 / $5,841.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.00 / $1,084.35 / $2,126.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.19 / $2,126.19 / $2,126.19