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South Dakota rates for HCPCS 96900

Actinotherapy (ultraviolet light)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $24.63 / $43.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $53.04 / $66.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $41.92 / $153.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $41.66 / $52.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $35.47 / $48.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $40.18 / $49.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $44.20 / $46.00