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South Dakota rates for HCPCS 64463

Pvb Thoracic Cont Catheter Infusion W/Img Gid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.13 / $237.82 / $237.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.11 / $238.59 / $424.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.12 / $416.13 / $873.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.72 / $241.24 / $430.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00