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South Dakota rates for HCPCS A2002

Misc W/Motor Score 45-53

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.99 / $122.99 / $122.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.99 / $122.99 / $125.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $261.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.23 / $211.86 / $343.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.73 / $342.87 / $923.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.02 / $413.09 / $413.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.88 / $261.02 / $335.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.34 / $199.34 / $199.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.87 / $342.87 / $377.16
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.20 / $213.20 / $213.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.20 / $213.20 / $213.20