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South Dakota rates for HCPCS 0264T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.26 / $157.26 / $157.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.82 / $157.26 / $157.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.50 / $271.51 / $336.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.37 / $259.95 / $421.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.15 / $287.10 / $1,199.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.11 / $336.48 / $5,910.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.30 / $310.38 / $370.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.71 / $311.18 / $407.71