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South Dakota rates for HCPCS G0166

External counterpulsation, per treatment session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.87 / $148.81 / $163.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.00 / $142.50 / $142.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.41 / $192.96 / $996.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.56 / $174.23 / $270.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.19 / $184.38 / $224.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.41 / $187.74 / $290.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $165.30 / $170.30