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South Dakota rates for HCPCS A0434

Specialty Care Transport

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.82 / $921.82 / $939.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.75 / $1,101.75 / $1,377.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.33 / $1,516.33 / $1,622.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.13 / $461.41 / $845.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.36 / $2,006.38 / $2,279.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.41 / $720.03 / $1,083.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $1,258.00 / $1,258.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.00 / $1,258.00 / $1,258.00