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South Dakota rates for HCPCS 96375

Therapeutic Injection Iv Push Each New Drug

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $34.96 / $165.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.71 / $31.15 / $38.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.03 / $29.19 / $47.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.79 / $38.43 / $44.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $27.04 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $29.22 / $47.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $33.90 / $33.90