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South Dakota rates for HCPCS 79200

Rp Therapy Inracavitary Administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.13 / $137.13 / $137.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.20 / $117.20 / $137.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.94 / $305.63 / $382.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.87 / $198.07 / $345.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.80 / $249.10 / $312.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.75 / $306.52 / $443.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.95 / $312.14 / $389.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.76 / $222.80 / $253.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.78 / $166.07 / $283.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.80 / $263.30 / $263.30