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South Dakota rates for HCPCS 82355

Calculus Qualitative Analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.89 / $10.89 / $10.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.82 / $13.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.85 / $22.85 / $22.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $20.89 / $26.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $18.55 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $10.42 / $21.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $23.59 / $36.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $25.73 / $33.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $27.04 / $31.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $7.43 / $16.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $11.58 / $11.58