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South Dakota rates for HCPCS 99471

Initial Ped Critical Care 29 Days Thru 24 Months

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.40 / $797.51 / $3,662.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.64 / $1,350.65 / $1,688.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.69 / $1,146.36 / $1,567.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.14 / $1,418.69 / $7,032.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.71 / $1,462.52 / $1,538.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.71 / $1,310.46 / $1,750.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.64 / $1,403.13 / $1,741.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.92 / $1,217.49 / $1,536.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.50 / $1,579.50 / $1,579.50