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South Dakota rates for HCPCS 96376

Ther Proph/Dx Njx Ea Seql Iv Push Sbst/Drug Fac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.28 / $309.39 / $839.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.73 / $20.07 / $820.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.60 / $33.60 / $33.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.31 / $29.74 / $36.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.98 / $99.46 / $303.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $17.64 / $29.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.44 / $22.84 / $26.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $23.27 / $27.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $17.64 / $29.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $5.88 / $5.88