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South Dakota rates for HCPCS 96450

Chemotx Admn Cns Req Spinal Puncture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.11 / $74.11 / $165.97
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$37.06 / $37.06 / $82.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.91 / $122.56 / $311.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.20 / $379.20 / $379.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.25 / $195.88 / $413.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.84 / $188.71 / $441.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.65 / $345.91 / $1,806.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.40 / $302.77 / $449.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.78 / $345.91 / $449.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $221.86 / $307.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.65 / $303.41 / $425.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.80 / $176.60 / $367.20