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South Dakota rates for HCPCS 95722

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.77 / $264.77 / $270.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.81 / $264.77 / $384.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.60 / $510.86 / $638.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.77 / $337.88 / $573.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.46 / $531.55 / $5,040.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.56 / $568.34 / $625.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.03 / $527.41 / $646.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.80 / $406.93 / $487.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.46 / $446.26 / $538.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.80 / $604.10 / $614.70