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South Dakota rates for HCPCS 92549

Cdp-Sot 6 Conditions W/I&R W/Mct & Adt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.26 / $49.26 / $49.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.85 / $72.18 / $87.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.45 / $49.26 / $59.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.71 / $137.44 / $170.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.59 / $94.16 / $116.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.95 / $127.90 / $404.18
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.50 / $91.00 / $278.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.91 / $144.53 / $169.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $106.68 / $125.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.87 / $73.14 / $86.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.95 / $115.70 / $142.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.50 / $82.33 / $96.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.10 / $134.69 / $134.69
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.50 / $92.30 / $92.30