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South Dakota rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $4,365.16 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $588.84 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,445.44 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $954.99 / $2,238.72