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South Dakota rates for HCPCS 99221

1st Hospital Ip/Obs Care Sf/Low Mdm 40 Minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.17 / $63.66 / $74.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.66 / $86.06 / $215.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.58 / $167.09 / $179.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.09 / $106.73 / $173.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.35 / $179.28 / $613.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.75 / $159.18 / $193.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.46 / $159.18 / $200.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.15 / $151.19 / $182.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.73 / $167.33 / $197.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $135.50 / $139.60