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South Dakota rates for HCPCS 0255U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $21.17 / $21.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.71 / $57.45 / $71.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.83 / $35.78 / $150.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $28.44 / $47.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.92 / $55.30 / $62.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.92 / $55.30 / $69.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $76.13 / $86.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $16.12 / $37.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $31.60 / $31.60