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South Dakota rates for HCPCS 34803

Evasc Rpr Aaa W/Mdlr Bfrc Prosth 2 Limbs

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,570.40 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,949.84 / $2,290.87