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South Dakota rates for HCPCS 0242U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.00 / $4,700.00 / $4,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,900.00 / $4,275.00 / $4,700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,181.55 / $9,081.10 / $11,351.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,719.00 / $5,661.50 / $9,179.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,550.00 / $3,000.00 / $8,943.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,000.00 / $6,500.00 / $10,957.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,000.00 / $8,750.00 / $10,300.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,150.00 / $12,046.50 / $13,736.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.00 / $2,550.00 / $5,000.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $5,000.00