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South Dakota rates for HCPCS 0256U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.17 / $107.17 / $107.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.62 / $290.50 / $363.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.97 / $181.12 / $759.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $143.96 / $239.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.94 / $279.91 / $314.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.94 / $279.91 / $350.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $385.37 / $439.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.18 / $95.97 / $191.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $159.94 / $159.94