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South Dakota rates for HCPCS 0253T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.92 / $929.92 / $929.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.03 / $909.52 / $929.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.38 / $821.72 / $821.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.52 / $1,316.83 / $1,571.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.23 / $1,969.29 / $7,091.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.04 / $1,755.94 / $5,794.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.20 / $1,573.92 / $2,260.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $8,045.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.81 / $1,997.43 / $2,948.65