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South Dakota rates for HCPCS 96365

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $147.91 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $147.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $147.91