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South Dakota rates for HCPCS 87299

Iaadi Not Otherwise Specified Each Organism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.13 / $15.13 / $15.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $15.13 / $15.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $31.99 / $31.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $29.38 / $36.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.43 / $19.22 / $185.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $14.49 / $24.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.77 / $29.51 / $43.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $27.02 / $42.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $37.60 / $44.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.66 / $19.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $16.10 / $16.10