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South Dakota rates for HCPCS A0430

Ambulance Service Conventional Air Services Transport One Way (Fixed Wing)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,570.00 / $3,570.00 / $5,666.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,665.63 / $6,665.63 / $8,332.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.91 / $1,888.75 / $3,462.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,402.97 / $11,884.52 / $11,884.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.75 / $3,004.68 / $4,436.60
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,130.00 / $8,130.00 / $8,130.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,669.00 / $17,669.00 / $17,669.00