go back

South Dakota rates for HCPCS 96371

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.85 / $63.81 / $63.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.13 / $123.90 / $152.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.44 / $90.05 / $145.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.31 / $138.32 / $172.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.91 / $105.71 / $146.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.40 / $115.31 / $145.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.69 / $132.69 / $132.69