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South Dakota rates for RC 0200

Intensive Care

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,999.00 / $6,999.00 / $6,999.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,906.00 / $3,906.00 / $3,906.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,111.00 / $10,858.64
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,600.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $515.00 / $1,391.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.00 / $1,014.00 / $1,525.00