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South Dakota rates for HCPCS A0426

Ambulance Service Advanced Life Support Non-Emergency Transport Level 1 (Als 1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.17 / $253.17 / $273.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.88 / $406.88 / $508.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.25 / $170.36 / $312.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.78 / $341.78 / $446.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.23 / $740.83 / $841.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.36 / $312.33 / $400.16
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.00 / $465.00 / $465.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.00 / $465.00 / $465.00