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South Dakota rates for HCPCS 99477

Initial Hosp Neonate 28 D/< Not Critically Ill

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.82 / $339.71 / $914.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.68 / $591.97 / $739.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.44 / $499.28 / $684.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.26 / $593.86 / $5,713.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.69 / $640.16 / $673.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.69 / $557.91 / $713.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.52 / $567.97 / $743.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.61 / $483.99 / $674.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.40 / $692.50 / $692.50