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South Dakota rates for HCPCS Q0114

Fern Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $9.16 / $9.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $9.16 / $9.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $11.48 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.85 / $14.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.15 / $13.73 / $16.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $16.16 / $25.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.69 / $22.74 / $26.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.85 / $11.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $9.74 / $9.74