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South Dakota rates for HCPCS 0692T

Therapeutic Ultrafiltration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.89 / $83.42 / $256.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.79 / $433.98 / $703.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.24 / $146.03 / $170.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.61 / $144.82 / $173.10