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South Dakota rates for HCPCS 0215U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,420.17 / $2,420.17 / $2,420.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.23 / $2,008.23 / $2,420.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,697.90 / $4,676.01 / $5,845.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.96 / $2,915.28 / $4,726.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.07 / $1,544.79 / $5,066.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,089.58 / $3,347.05 / $5,642.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,089.58 / $3,913.47 / $5,303.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,681.75 / $6,203.10 / $7,073.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.34 / $1,313.07 / $2,574.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.65 / $2,574.65 / $2,574.65