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South Dakota rates for HCPCS A4570

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $10.96 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $16.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $13.80 / $22.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.92 / $89.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $19.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.92 / $13.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88