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South Dakota rates for HCPCS 62368

Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $42.66 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $97.72 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $69.18 / $131.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $112.20 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $81.28 / $125.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $77.62 / $125.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $72.44 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $72.44 / $125.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $79.43 / $104.71