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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
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,019.95 / $3,467.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,388.44 / $4,466.84
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79