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South Dakota rates for HCPCS 62360

Impltj/Rplcmt Ithcl/Edrl Drug Nfs Subq Rsvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.41 / $306.41 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.45 / $472.83 / $798.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.04 / $849.32 / $34,526.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.62 / $520.29 / $617.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00