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South Dakota rates for HCPCS G9017

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Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.13 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.12 / $2.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72