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South Dakota rates for HCPCS 0576T

Interrogation Dev Eval Icds W/Ss Eltrd In Person

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.31 / $65.31 / $65.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.57 / $63.47 / $65.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.75 / $87.75 / $109.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.21 / $91.17 / $173.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.65 / $84.35 / $483.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.27 / $89.90 / $119.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $81.75 / $121.13
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
$51.04 / $83.65 / $127.60