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South Dakota rates for HCPCS 88249

Chrmsm Breakage Synds Score 100 Cll

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.78 / $162.78 / $162.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.02 / $135.07 / $162.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.33 / $345.33 / $345.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.83 / $314.64 / $393.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.91 / $275.10 / $550.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.90 / $190.04 / $1,423.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.46 / $379.52 / $542.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.46 / $352.81 / $496.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.80 / $417.22 / $475.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.90 / $103.90 / $311.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.17 / $173.17 / $173.17