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South Dakota rates for HCPCS E1353

Regulator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.73 / $23.73 / $23.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $27.05 / $36.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.37 / $32.47 / $43.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $45.75 / $57.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.57 / $49.54 / $177.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $25.29 / $209.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $43.53 / $56.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.07 / $44.14 / $66.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.01 / $39.44 / $49.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $19.73 / $32.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $37.59 / $37.59