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South Dakota rates for HCPCS 97022

Application Modality 1/> Areas Whirlpool

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $15.38 / $26.30
Aetna
Facility/Professional
Professional
Modifier
CO
Low / Median / High Price
$13.56 / $13.56 / $13.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $16.91 / $102.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.36 / $20.26 / $49.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $26.70 / $45.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $27.24 / $38.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $20.26 / $35.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $21.70 / $25.60