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South Dakota rates for HCPCS A0431

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,075.03 / $5,075.03 / $6,587.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,750.13 / $7,750.13 / $9,687.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,376.04 / $11,376.04 / $11,376.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.28 / $2,195.94 / $4,025.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,444.40 / $13,817.54 / $13,817.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.94 / $3,493.39 / $5,158.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,453.00 / $9,453.00 / $9,453.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,447.00 / $26,447.00 / $26,447.00