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South Dakota rates for HCPCS 0577T

Electrophysiologic Eval Icds W/Ss Electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.32 / $249.32 / $249.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.09 / $249.32 / $249.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.45 / $289.45 / $290.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.41 / $365.19 / $421.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.09 / $360.53 / $1,742.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.41 / $318.32 / $524.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.45 / $318.32 / $491.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.09 / $399.19 / $442.06