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South Dakota rates for HCPCS 59025

Fetal Nonstress Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.41 / $24.41 / $24.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.26 / $118.01 / $149.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.54 / $42.49 / $98.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.87 / $109.07 / $136.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.05 / $62.16 / $76.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $93.40 / $358.08
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.90 / $56.52 / $210.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $106.65 / $130.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.24 / $81.39 / $95.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.90 / $49.36 / $56.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $98.07 / $130.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.90 / $56.52 / $77.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.30 / $109.80 / $114.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.80 / $64.50 / $67.09