go back

South Dakota rates for HCPCS 92564

Short increment sensitivity index (SISI)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $40.74 / $56.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $131.83 / $131.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $32.36 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48