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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
$123.03 / $147.91 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $295.12 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $295.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $275.42 / $275.42