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South Dakota rates for HCPCS 86920

Compatibility test each unit; immediate spin technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $267.26 / $454.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.53 / $32.78 / $32.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.00 / $47.00 / $47.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $47.00 / $58.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.79 / $38.08 / $150.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $24.58 / $51.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.59 / $50.67 / $60.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.57 / $50.89 / $94.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $21.87 / $36.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.40 / $171.40 / $171.40