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South Dakota rates for HCPCS 77470

Special Treatment Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.34 / $109.34 / $109.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.98 / $197.12 / $362.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.51 / $106.16 / $235.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.34 / $100.62 / $189.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.49 / $340.53 / $425.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$203.00 / $248.22 / $310.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.48 / $92.31 / $115.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.33 / $248.83 / $374.82
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.89 / $201.17 / $360.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.91 / $47.66 / $270.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.32 / $308.07 / $799.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.11 / $249.66 / $284.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.01 / $177.62 / $208.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.32 / $66.39 / $78.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.40 / $248.83 / $326.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$126.42 / $130.49 / $210.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.91 / $47.66 / $78.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.20 / $319.00 / $319.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$199.00 / $234.20 / $234.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.09 / $84.80 / $84.80