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South Dakota rates for HCPCS 0221T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.83 / $1,200.83 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.86 / $1,200.83 / $1,245.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.25 / $698.25 / $872.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.21 / $2,104.29 / $3,143.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.33 / $2,543.34 / $9,707.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.15 / $1,848.01 / $2,403.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.49 / $1,680.49 / $2,139.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.84 / $2,295.46 / $3,570.73