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South Dakota rates for HCPCS 77091

Tbs Technical Calculation Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.26 / $25.26 / $29.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.65 / $64.38 / $80.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.10 / $55.00 / $179.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.28 / $65.70 / $74.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.46 / $46.53 / $53.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.54 / $53.51 / $77.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.50 / $59.40 / $59.40