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South Dakota rates for HCPCS 0517T

Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; both components of pulse generator (battery and transmitter) only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.30 / $323.30 / $323.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.30 / $323.30 / $341.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $452.95 / $468.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.87 / $546.38 / $936.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.43 / $634.60 / $2,665.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.10 / $498.11 / $576.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.95 / $498.11 / $660.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.43 / $634.60 / $892.50