go back

South Dakota rates for HCPCS A2005

Miscellaneous M <46.50 And A <77.50., Without Comorbidities

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.08 / $182.08 / $182.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.08 / $182.08 / $183.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $216.38 / $381.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.68 / $309.91 / $502.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $254.57 / $1,351.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.86 / $381.86 / $604.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.86 / $381.86 / $381.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,999.82 / $2,999.82 / $2,999.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $254.57 / $280.02
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.50 / $552.50 / $552.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.50 / $552.50 / $552.50