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South Dakota rates for HCPCS B9002

Enteral Nutrition Infusion Pump Any Type (Specialcoverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450) (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.78 / $919.78 / $919.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.78 / $919.78 / $1,182.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.00 / $899.91 / $1,113.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.60 / $1,480.42 / $1,998.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.42 / $812.88 / $1,437.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.88 / $142.60 / $163.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.88 / $134.75 / $247.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.77 / $812.88 / $1,544.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.23 / $1,213.23 / $1,213.23