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South Dakota rates for HCPCS 96521

Refilling and maintenance of portable pump

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.39 / $152.33 / $221.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.20 / $251.64 / $311.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.26 / $252.43 / $886.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.15 / $272.48 / $342.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.77 / $200.29 / $228.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.26 / $224.38 / $286.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.50 / $272.30 / $272.30