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South Dakota rates for HCPCS 95721

Eeg Complete Std Phys/Qhp>36 Hr<60 Hr W/O Video

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.68 / $217.68 / $222.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.96 / $206.69 / $316.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.67 / $422.23 / $527.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.87 / $277.99 / $470.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.69 / $438.40 / $1,299.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.52 / $466.07 / $512.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.72 / $432.30 / $530.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.42 / $334.34 / $401.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.76 / $377.69 / $444.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $496.40 / $506.20