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South Dakota rates for HCPCS 0416T

Relocation of skin pocket for implanted cardiac contractility modulation pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $336.05 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.38 / $336.05 / $336.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.12 / $573.12 / $573.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.58 / $554.96 / $899.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.91 / $867.78 / $2,560.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.69 / $630.24 / $1,471.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.12 / $609.96 / $729.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.28 / $783.20 / $1,218.31