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South Dakota rates for HCPCS 0265U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,147.25 / $5,147.25 / $5,147.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,271.12 / $4,271.12 / $5,147.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,865.07 / $9,945.41 / $12,431.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,168.06 / $6,200.26 / $10,052.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,792.66 / $3,285.48 / $10,776.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.81 / $7,118.54 / $12,000.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,453.81 / $9,582.65 / $12,000.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,830.39 / $13,192.84 / $15,043.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.84 / $2,792.66 / $7,228.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,475.80 / $5,475.80 / $5,475.80