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South Dakota rates for HCPCS 96570

Pdt Ndsc Abl Abnor Tiss Via Activj Rx 30 Min

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.85 / $55.85 / $55.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.18 / $55.85 / $55.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.38 / $106.91 / $131.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.33 / $84.35 / $145.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $108.74 / $812.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.04 / $122.73 / $139.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $108.80 / $134.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $91.35 / $104.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $108.74 / $114.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $94.90 / $98.70