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South Dakota rates for HCPCS 99281

Emergency Department Visit May Not Req Phys/Qhp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.72 / $112.07 / $237.50
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$233.50 / $233.50 / $233.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $17.46 / $39.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.50 / $30.00 / $38.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $21.99 / $34.22