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South Dakota rates for HCPCS 96374

Ther Proph/Dx Njx Iv Push Single/1st Sbst/Drug

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $59.01 / $139.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.98 / $75.05 / $92.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $70.69 / $120.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $92.48 / $107.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $64.92 / $94.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.61 / $72.76 / $114.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $81.00 / $81.00