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South Dakota rates for HCPCS G0516

Insertion of nonbiodegradable drug delivery implants, four or more (services for subdermal rod implant)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.95 / $203.37 / $203.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.95 / $203.37 / $215.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.75 / $139.74 / $242.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.05 / $192.80 / $391.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.60 / $489.78 / $1,283.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.77 / $252.42 / $400.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.74 / $250.85 / $372.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.90 / $213.87 / $334.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.72 / $412.44 / $737.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.19 / $174.80 / $313.80