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South Dakota rates for HCPCS 93284

Prgrmg Eval Implantable In Person Multi Lead Dfb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.06 / $66.06 / $66.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.18 / $103.49 / $151.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.84 / $62.67 / $137.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.51 / $41.35 / $106.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.33 / $217.74 / $272.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.80 / $124.61 / $153.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.03 / $94.91 / $118.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.34 / $178.57 / $865.60
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.16 / $114.88 / $382.35
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.98 / $57.56 / $307.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.96 / $178.48 / $279.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.26 / $149.79 / $201.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.13 / $97.88 / $115.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.76 / $62.80 / $86.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.20 / $167.55 / $210.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.22 / $113.92 / $157.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.98 / $59.24 / $77.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.20 / $216.50 / $254.70
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.80 / $123.50 / $145.30
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.40 / $93.00 / $109.40