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South Dakota rates for HCPCS 0216T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.67 / $169.67 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $169.67 / $177.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.88 / $213.99 / $264.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.19 / $300.27 / $534.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.31 / $325.55 / $1,385.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.48 / $426.32 / $1,151.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.55 / $363.78 / $432.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.31 / $289.02 / $455.80