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South Dakota rates for HCPCS 62367

Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming or refill

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $275.42 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.90 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $50.12 / $97.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $81.28 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $58.88 / $91.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $56.23 / $91.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $52.48 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $53.70 / $89.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $57.54 / $75.86