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South Dakota rates for HCPCS 0245U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.10 / $1,190.10 / $1,190.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.00 / $987.53 / $1,190.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.75 / $2,299.81 / $2,874.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.92 / $1,433.58 / $2,324.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.70 / $759.64 / $2,543.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.28 / $1,645.89 / $2,543.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.28 / $2,215.62 / $2,543.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.78 / $3,050.34 / $3,478.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.75 / $645.70 / $1,266.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.07 / $1,266.07 / $1,266.07