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South Dakota rates for HCPCS 0573T

Removal of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $549.54 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $616.60 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $616.60 / $954.99