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South Dakota rates for HCPCS 35180

Repair Congenital Av Fistula Head & Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.31 / $780.31 / $780.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.99 / $780.31 / $780.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.58 / $1,608.06 / $2,010.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.68 / $1,318.72 / $2,432.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.94 / $1,876.26 / $7,411.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.00 / $1,894.78 / $2,401.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.85 / $1,683.38 / $2,262.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.09 / $1,312.40 / $1,558.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.94 / $1,876.26 / $2,350.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.30 / $1,815.70 / $1,888.30