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South Dakota rates for HCPCS 0695T

Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, disconnection, review, and report; at time of implant or replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.05 / $150.05 / $150.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.05 / $150.05 / $153.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.68 / $253.58 / $259.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.26 / $299.11 / $1,169.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.44 / $200.75 / $244.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.75 / $244.74 / $809.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.54 / $284.04 / $331.38