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South Dakota rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$323.59 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$354.81 / $398.11 / $436.52
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$371.54 / $371.54 / $371.54