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South Dakota rates for HCPCS 97016

Appl Modality 1/> Areas Vasopneumatic Devices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.56 / $10.56 / $10.56
Aetna
Facility/Professional
Facility
Modifier
CQ
Low / Median / High Price
$113.58 / $113.58 / $113.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $14.20 / $18.14
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$7.17 / $7.17 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $12.33 / $15.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $16.32 / $29.00
Medica
Facility/Professional
Facility
Modifier
CQ
Low / Median / High Price
$22.63 / $48.48 / $48.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $16.64 / $40.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $21.09 / $36.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $21.20 / $36.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $19.80 / $31.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $16.59 / $39.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $16.30 / $19.20