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South Dakota rates for HCPCS 0572T

Insertion of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $724.44 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $812.83 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $1,258.93