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South Dakota rates for HCPCS 0167U

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.01 / $15.01 / $15.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $15.01 / $18.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.75 / $13.75 / $13.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $19.63 / $19.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $12.78 / $15.04