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South Dakota rates for HCPCS 96365

Iv Infusion Therapy/Prophylaxis /Dx 1st To 1 Hr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.37 / $101.17 / $237.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.62 / $127.44 / $157.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.10 / $90.13 / $149.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.66 / $133.94 / $175.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $101.56 / $121.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.02 / $125.16 / $149.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.10 / $138.10 / $138.10