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South Dakota rates for HCPCS E1355

Stand/rack

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $17.88 / $17.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $20.38 / $27.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $24.68 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $34.50 / $43.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.82 / $34.44 / $134.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $19.04 / $142.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.00 / $32.79 / $42.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.66 / $33.26 / $50.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $29.70 / $37.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $14.87 / $29.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.33 / $28.33 / $28.33