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South Dakota rates for HCPCS Q4166

Cytal Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.85 / $26.85 / $33.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $22.12 / $27.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $35.24 / $37.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $20.85 / $90.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.02 / $26.72 / $30.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $25.02 / $25.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $21.85 / $21.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $21.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $20.85 / $20.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $20.85 / $20.85