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South Dakota rates for HCPCS 0165T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.36 / $783.36 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.84 / $783.36 / $783.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.82 / $773.98 / $773.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.48 / $1,099.92 / $1,783.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.82 / $836.04 / $6,080.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.88 / $1,517.43 / $1,932.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.33 / $803.81 / $1,668.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.67 / $902.25 / $1,165.64