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South Dakota rates for HCPCS 0257U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.72 / $669.72 / $669.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.35 / $669.72 / $669.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.17 / $1,294.50 / $1,618.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.43 / $806.72 / $3,384.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.36 / $641.22 / $1,068.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.96 / $1,246.82 / $1,402.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.96 / $1,246.82 / $1,561.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.47 / $1,716.55 / $1,957.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.24 / $641.22 / $712.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.47 / $712.47 / $712.47