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South Dakota rates for HCPCS A0435

Fixed Wing Air Mileage Per Statute Mile

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $15.75 / $21.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $18.75 / $23.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.36 / $9.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $33.72 / $33.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $8.93 / $12.60
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $106.00 / $106.00