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South Dakota rates for HCPCS 96913

Photochemotherapy Dermatoses 4-8 Hrs Supervision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.69 / $172.69 / $172.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.74 / $172.69 / $172.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.33 / $321.73 / $402.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.31 / $240.26 / $343.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $262.93 / $975.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.00 / $290.54 / $364.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $259.07 / $339.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.53 / $217.55 / $292.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $238.91 / $306.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.40 / $266.30 / $277.00