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South Dakota rates for HCPCS 0166U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.38 / $352.38 / $773.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.35 / $1,003.35 / $1,003.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.98 / $913.92 / $1,142.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.10 / $570.00 / $2,391.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.73 / $453.06 / $755.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.08 / $920.59 / $990.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.58 / $990.66 / $1,313.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $1,212.83 / $1,382.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $755.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $503.40 / $503.40