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South Dakota rates for HCPCS 64624

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.24 / $398.88 / $398.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.05 / $209.42 / $444.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.73 / $417.79 / $1,121.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.43 / $479.16 / $698.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.93 / $881.54 / $3,102.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.95 / $901.86 / $2,173.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.32 / $711.50 / $981.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.69 / $458.16 / $741.35
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
$354.93 / $615.03 / $1,153.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.00 / $346.30 / $899.80