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South Dakota rates for HCPCS 0417T

Prgrmg Device Evaluation Cardiac Modulj System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $78.80 / $78.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $80.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.40 / $133.16 / $136.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $82.12 / $614.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $60.43 / $121.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $153.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.94 / $90.83 / $165.10