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South Dakota rates for HCPCS 96369

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $157.59 / $157.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.20 / $299.48 / $369.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.63 / $234.04 / $377.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.75 / $312.32 / $408.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.55 / $255.06 / $317.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.92 / $234.04 / $359.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.10 / $320.10 / $320.10