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South Dakota rates for HCPCS 0267U

Rare Do Id Variations Opt Gen Map&Whl Gen Seq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,334.97 / $6,334.97 / $6,334.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,256.68 / $5,256.68 / $6,334.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,680.20 / $12,240.65 / $15,300.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,360.58 / $7,630.94 / $12,372.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,437.06 / $4,043.60 / $13,263.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,087.20 / $11,793.83 / $14,769.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,087.20 / $12,334.18 / $14,769.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,637.24 / $16,237.07 / $18,514.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,830.52 / $3,437.06 / $6,739.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,739.33 / $6,739.33 / $6,739.33