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South Dakota rates for HCPCS 59412

External Cephalic Version W/Wo Tocolysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.50 / $85.50 / $85.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $103.19 / $478.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.40 / $214.25 / $267.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.66 / $151.86 / $269.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.83 / $200.30 / $1,500.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.40 / $243.05 / $2,929.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.82 / $197.40 / $226.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $175.22 / $199.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.83 / $196.38 / $272.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.69 / $151.40 / $157.50