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South Dakota rates for HCPCS 0580T

Removal of substernal implantable defibrillator pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.99 / $209.99 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.46 / $209.99 / $209.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.92 / $293.92 / $321.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.95 / $343.85 / $557.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.49 / $419.96 / $1,708.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.76 / $323.23 / $382.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.92 / $323.23 / $422.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.90 / $379.01 / $589.57