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South Dakota rates for HCPCS A0436

Rotary wing air mileage, per statute mile

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $41.99 / $44.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $49.88 / $62.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $72.04 / $72.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $14.30 / $26.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.48 / $89.98 / $89.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $23.83 / $33.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.00 / $67.00 / $67.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.00 / $223.00 / $223.00