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South Dakota rates for HCPCS 62321

Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.00 / $1,617.48 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.65 / $241.81 / $788.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.92 / $440.09 / $756.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.87 / $349.59 / $1,303.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.01 / $580.22 / $1,955.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.79 / $565.54 / $873.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.74 / $375.48 / $650.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.82 / $310.94 / $501.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.98 / $521.14 / $733.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $252.00 / $609.29