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South Dakota rates for HCPCS 41805

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.27 / $310.16 / $310.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.40 / $240.18 / $511.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.78 / $568.74 / $892.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.78 / $342.08 / $653.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.37 / $557.74 / $2,275.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.35 / $576.20 / $753.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.16 / $488.25 / $706.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.52 / $392.02 / $586.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.12 / $561.65 / $846.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.10 / $457.80 / $712.20