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South Dakota rates for HCPCS 99192

Assembly&Operj Pump Oxygenator/Heat Exch 30 Mi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.89 / $236.89 / $236.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.30 / $236.89 / $367.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.59 / $542.33 / $668.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.74 / $371.29 / $492.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.73 / $407.94 / $2,805.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $463.29 / $522.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.00 / $457.56 / $527.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.05 / $212.05 / $212.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.77 / $387.05 / $451.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.30 / $407.40 / $423.70