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South Dakota rates for HCPCS 93289

Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead transvenous implantable defibrillator system, including analysis of heart rhythm derived data elements

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.90 / $38.90 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $89.13 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $48.98 / $112.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $43.65 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $75.86 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $77.62 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $112.20 / $562.34
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $67.61 / $234.42
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $39.81 / $245.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $128.82 / $173.78
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $85.11 / $89.13
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $44.67 / $87.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $114.82 / $114.82
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $77.62 / $77.62
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $36.31 / $36.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $109.65 / $141.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $60.26 / $75.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $50.12 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $117.49 / $186.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $72.44 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $41.69 / $72.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $147.91 / $173.78
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $74.13 / $87.10
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $74.13 / $87.10