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South Dakota rates for HCPCS 0217U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.44 / $2,066.44 / $2,066.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.71 / $2,066.44 / $2,066.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,157.39 / $3,992.52 / $4,990.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,074.80 / $2,489.17 / $4,035.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.16 / $1,319.01 / $4,326.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,638.02 / $2,857.86 / $4,817.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,638.02 / $3,341.49 / $4,528.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,143.64 / $5,296.48 / $6,039.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.31 / $1,319.01 / $2,528.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.35 / $2,198.35 / $2,198.35