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South Dakota rates for HCPCS 90865

Narcosynthesis Psyc Dx&Ther Purposes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.05 / $122.05 / $163.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.91 / $150.69 / $178.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.13 / $195.16 / $257.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.10 / $155.19 / $276.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.18 / $777.19 / $1,041.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.10 / $303.54 / $385.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.84 / $260.73 / $333.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.60 / $202.24 / $279.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.65 / $358.51 / $416.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $174.40 / $245.30