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South Dakota rates for HCPCS 62369

Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.59 / $93.58 / $93.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $78.79 / $212.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.28 / $115.74 / $266.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.49 / $113.18 / $267.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.21 / $258.54 / $848.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.17 / $155.90 / $267.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.34 / $178.80 / $267.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $144.44 / $199.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.05 / $173.65 / $297.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $80.90 / $215.10