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South Dakota rates for HCPCS 96372

Therapeutic Prophylactic/Dx Injection Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.15 / $208.05 / $2,319.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $27.42 / $115.20
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $30.44 / $37.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.98 / $95.35 / $1,250.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $29.84 / $53.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.93 / $35.21 / $41.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.26 / $35.21 / $41.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $26.62 / $41.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.60 / $25.58 / $51.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $33.20 / $33.20