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South Dakota rates for HCPCS 88289

Chrmsm Analysis Addl High Resolution Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.07 / $26.86 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.54 / $68.54 / $68.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.04 / $62.02 / $77.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $38.99 / $83.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $37.78 / $777.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.43 / $62.19 / $86.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.43 / $63.25 / $76.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.34 / $82.95 / $94.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $20.66 / $61.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.43 / $34.43 / $34.43