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South Dakota rates for HCPCS A2001

Misc W/Motor Score 54-84

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $1,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,500.00 / $1,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,652.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $2,028.00 / $2,535.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $5,250.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.97 / $1,652.10 / $2,614.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.99 / $1,272.97 / $1,652.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $1,375.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00