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South Dakota rates for HCPCS 0264U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.72 / $1,187.72 / $1,187.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.57 / $985.55 / $1,187.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.62 / $2,294.59 / $2,868.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.52 / $1,430.70 / $2,319.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.40 / $758.12 / $2,486.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.24 / $2,211.17 / $3,396.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.24 / $2,486.63 / $3,396.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.85 / $3,044.22 / $3,471.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.67 / $758.12 / $1,667.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.53 / $1,263.53 / $1,263.53