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South Dakota rates for HCPCS 96373

Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $19.14 / $21.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.78 / $40.36 / $49.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $24.99 / $40.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $37.59 / $47.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.26 / $31.91 / $36.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $33.09 / $42.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00