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South Dakota rates for HCPCS 0175U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.92 / $1,255.92 / $1,255.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.15 / $1,042.15 / $1,255.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.90 / $2,426.46 / $3,033.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.00 / $1,512.85 / $2,452.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.41 / $801.65 / $2,629.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.31 / $1,736.92 / $2,928.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.31 / $2,030.86 / $2,752.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.61 / $3,219.04 / $3,670.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.16 / $801.65 / $1,536.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.09 / $1,336.09 / $1,336.09