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South Dakota rates for HCPCS 93281

Program Eval Implantable In Prsn Multi Ld Pacer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.09 / $45.09 / $45.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $78.55 / $115.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.65 / $45.22 / $63.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.17 / $28.79 / $49.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.47 / $173.08 / $216.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.78 / $84.96 / $104.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.50 / $89.33 / $111.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.39 / $138.16 / $676.25
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.29 / $78.03 / $271.97
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.16 / $49.29 / $290.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.76 / $134.84 / $188.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.07 / $116.65 / $159.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.01 / $66.54 / $78.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.14 / $59.14 / $81.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.76 / $132.35 / $166.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.29 / $75.84 / $94.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.13 / $60.78 / $88.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.80 / $171.40 / $201.70
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.70 / $84.00 / $98.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.10 / $87.40 / $102.90