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South Dakota rates for HCPCS 0415T

Repos Cardiac Modulj Sys Transvenous Electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.88 / $310.88 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.06 / $310.88 / $310.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.63 / $434.63 / $434.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.81 / $513.86 / $833.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.56 / $658.30 / $2,370.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.27 / $477.97 / $553.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.63 / $477.97 / $587.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.56 / $680.86 / $924.20