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South Dakota rates for HCPCS 65260

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.58 / $1,046.58 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.57 / $1,046.58 / $1,712.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.08 / $2,238.35 / $2,797.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,229.03 / $2,516.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.87 / $1,749.96 / $3,017.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.47 / $2,112.80 / $2,523.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.12 / $2,236.63 / $2,600.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.22 / $1,571.18 / $1,877.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.44 / $1,724.65 / $2,722.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.20 / $2,239.30 / $2,239.30