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South Dakota rates for HCPCS 95954

Rx/Physical Eeg Activaj Phys/Qhp Attendance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.21 / $116.21 / $116.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.01 / $451.70 / $518.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.26 / $809.56 / $1,011.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.39 / $774.16 / $2,594.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.28 / $781.12 / $989.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.68 / $632.92 / $763.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.31 / $180.37 / $212.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.39 / $713.72 / $947.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.00 / $939.70 / $939.70