go back

South Dakota rates for HCPCS 0162U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.35 / $457.35 / $457.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.50 / $457.35 / $457.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.00 / $883.89 / $1,104.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.20 / $550.91 / $893.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.14 / $291.92 / $957.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.84 / $851.45 / $1,066.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.85 / $739.54 / $1,002.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.75 / $1,172.22 / $1,336.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.35 / $291.92 / $486.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.54 / $486.54 / $486.54