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South Dakota rates for HCPCS 96413

Chemotx Admn Iv Nfs Tq Up 1 Hr 1/1st Sbst/Drug

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.85 / $243.24 / $805.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.27 / $260.32 / $325.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.66 / $241.50 / $907.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.10 / $262.31 / $337.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.04 / $209.37 / $238.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.30 / $236.04 / $275.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.60 / $284.60 / $284.60