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South Dakota rates for HCPCS A0428

Bls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.12 / $599.12 / $599.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.65 / $222.65 / $240.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $339.00 / $423.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.04 / $141.97 / $260.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.58 / $300.58 / $393.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.19 / $617.34 / $701.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.97 / $221.55 / $333.47
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.00 / $387.00 / $387.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.00 / $387.00 / $387.00