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South Dakota rates for HCPCS 0174U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.05 / $1,227.05 / $1,227.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.05 / $1,227.05 / $1,227.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.02 / $2,370.96 / $2,963.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.00 / $1,478.07 / $6,200.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.74 / $1,174.83 / $1,958.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.44 / $2,284.40 / $2,568.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.44 / $2,284.40 / $2,860.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.36 / $3,145.03 / $3,586.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $783.22 / $1,566.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.36 / $1,305.36 / $1,305.36