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South Dakota rates for HCPCS 0614T

Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.47 / $376.47 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.79 / $376.47 / $376.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.46 / $1,060.46 / $1,832.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.73 / $584.39 / $947.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.62 / $1,604.56 / $3,691.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.04 / $1,254.40 / $28,309.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.46 / $1,166.18 / $1,878.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,651.00 / $8,651.00 / $8,651.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.25 / $1,059.20 / $2,252.71