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South Dakota rates for HCPCS 34830

Opn Rpr Arysm Rpr Artl Trauma Tube Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.82 / $1,736.82 / $1,736.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.65 / $1,736.82 / $1,736.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,367.47 / $3,570.62 / $4,463.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,727.07 / $4,712.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.23 / $3,424.54 / $12,378.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,354.00 / $4,106.21 / $5,382.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,069.00 / $3,762.70 / $4,663.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.94 / $2,933.46 / $3,344.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.23 / $3,435.28 / $4,634.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,449.70 / $4,058.50 / $4,220.80