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South Dakota rates for HCPCS 0123U

Mechanical fragility, RBC, shear stress and spectral analysis profiling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $275.42 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $691.83 / $851.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $407.38 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $426.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $831.76 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81