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South Dakota rates for HCPCS 99469

Subq I/P Critical Care Pr Day Age 28 Days/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.66 / $438.85 / $1,053.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.76 / $675.32 / $844.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.69 / $569.86 / $780.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.43 / $709.25 / $3,516.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.61 / $730.64 / $768.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.61 / $628.01 / $814.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.74 / $647.40 / $847.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.41 / $630.45 / $827.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.40 / $789.40 / $789.40