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South Dakota rates for HCPCS 34900

Evasc Rpr Iliac Art Ilio-Iliac Prosthesis

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,513.56 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,348.96 / $1,584.89