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South Dakota rates for HCPCS 0205U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.18 / $44.18 / $44.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.49 / $36.65 / $44.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.00 / $94.00 / $94.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.63 / $85.52 / $106.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.36 / $53.22 / $86.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.97 / $28.20 / $92.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.40 / $61.10 / $103.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $85.95 / $103.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $113.24 / $129.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $23.97 / $47.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $47.00 / $47.00