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South Dakota rates for HCPCS 95719

Eeg Phys/Qhp Ea Incr>12hr<26hr After 24hr Wo Vid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.92 / $166.92 / $169.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $166.11 / $251.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.20 / $328.01 / $410.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.22 / $211.95 / $361.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.72 / $330.29 / $978.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.00 / $353.67 / $393.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.97 / $328.42 / $407.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.38 / $261.20 / $312.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.72 / $284.56 / $334.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.89 / $387.80 / $394.30