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South Dakota rates for HCPCS 66630

Irdec Crnlsclrl/Crnl Sctj Sector Glc Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.66 / $602.66 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.85 / $602.66 / $986.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.53 / $1,297.98 / $1,622.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.85 / $751.05 / $1,495.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.64 / $1,021.10 / $1,789.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.13 / $1,318.12 / $1,821.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.97 / $1,319.40 / $1,497.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.89 / $926.58 / $1,090.03
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
$589.24 / $1,021.10 / $1,588.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.30 / $1,299.80 / $1,299.80