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South Dakota rates for HCPCS 0214U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,911.12 / $4,911.12 / $4,911.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,075.19 / $4,075.19 / $4,911.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,504.73 / $9,489.75 / $11,862.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,930.97 / $5,915.81 / $9,591.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.55 / $3,134.76 / $10,282.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,269.52 / $6,791.98 / $11,450.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,269.52 / $7,941.39 / $10,762.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,471.18 / $12,587.63 / $14,353.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.33 / $2,664.55 / $5,224.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,224.60 / $5,224.60 / $5,224.60