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South Dakota rates for HCPCS 86161

Complement Functional Activity Each Component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $11.28 / $11.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.71 / $11.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.15 / $24.15 / $24.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $21.54 / $26.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $19.23 / $142.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $10.80 / $23.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $24.44 / $37.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $25.01 / $33.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.54 / $28.02 / $32.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $10.80 / $14.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00