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South Dakota rates for HCPCS 95977

Elec Alys Implt Cplx Cn Npgt Prgrmg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.23 / $55.23 / $55.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.87 / $52.17 / $78.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $101.95 / $127.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.60 / $69.98 / $119.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.31 / $110.93 / $332.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.03 / $120.24 / $132.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.55 / $111.16 / $135.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.61 / $81.94 / $98.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.31 / $92.97 / $112.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $121.60 / $123.30