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South Dakota rates for HCPCS 99468

1st Inpatient Critical Care Pr Day Age 28 Days/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.42 / $868.24 / $2,495.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.96 / $1,561.15 / $1,951.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.08 / $1,317.52 / $1,805.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.20 / $1,639.24 / $8,114.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.47 / $1,689.16 / $1,776.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.47 / $1,474.89 / $1,896.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.47 / $1,496.23 / $1,958.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.74 / $1,529.96 / $1,937.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.30 / $1,824.40 / $1,824.40