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South Dakota rates for HCPCS 93025

Microvolt T-Wave Assess Ventricular Arrhythmias

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.34 / $127.73 / $135.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.22 / $274.70 / $339.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.59 / $284.41 / $1,760.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.63 / $307.58 / $410.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.97 / $217.31 / $267.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.46 / $254.76 / $344.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.60 / $265.80 / $312.70