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South Dakota rates for HCPCS 34704

Evasc Rpr Dplmnt Aorto-Un-Iliac Ndgft Rpt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,270.29 / $2,270.29 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,202.29 / $3,551.81 / $5,687.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,126.58 / $5,335.80 / $6,976.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,908.79 / $3,786.83 / $4,317.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00