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South Dakota rates for HCPCS Q4159

Affinity1 Square Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.70 / $357.70 / $447.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.89 / $290.02 / $334.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.17 / $397.44 / $1,388.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.17 / $235.17 / $1,778.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.20 / $342.36 / $759.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.20 / $315.51 / $759.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.29 / $224.29 / $224.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $225.46
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.17 / $235.17 / $235.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.17 / $235.17 / $235.17