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South Dakota rates for HCPCS 93644

Ephys Eval Subq Implantable Defibrillator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.76 / $210.76 / $210.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.30 / $192.97 / $210.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.75 / $400.73 / $493.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.02 / $326.12 / $639.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.02 / $390.43 / $1,248.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.27 / $412.14 / $554.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.27 / $412.14 / $523.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.20 / $321.14 / $492.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.31 / $361.62 / $456.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.70 / $392.80 / $462.10