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South Dakota rates for HCPCS 0277U

Hem Gen Pltl Func Do Gen Seq Aly 40&Dup/Del Plau

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.67 / $571.67 / $571.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.37 / $474.37 / $571.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.50 / $1,104.54 / $1,380.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.99 / $688.62 / $1,116.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.17 / $364.90 / $1,196.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.80 / $930.69 / $1,332.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.80 / $1,064.30 / $1,332.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.68 / $1,465.26 / $1,670.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.43 / $310.17 / $608.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.16 / $608.16 / $608.16