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South Dakota rates for HCPCS 96367

Iv Infusion Ther Proph Addl Sequential To 1 Hr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.27 / $37.20 / $210.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.93 / $58.76 / $72.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.32 / $40.17 / $64.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.89 / $64.13 / $77.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $47.57 / $54.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $42.44 / $64.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.30 / $63.30 / $63.30