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South Dakota rates for HCPCS 99190

Assembly&Operj Pump Oxygenator/Heat Exch Ea Hr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.77 / $473.77 / $473.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.05 / $473.77 / $473.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.88 / $1,085.35 / $1,337.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.69 / $742.94 / $983.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.46 / $814.54 / $5,676.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.00 / $925.85 / $1,043.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.00 / $920.39 / $1,055.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.45 / $428.45 / $428.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.46 / $773.23 / $902.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.70 / $818.50 / $851.30