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South Dakota rates for HCPCS 35184

Rpr Congenital Av Fistula Extremities

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.96 / $955.96 / $955.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.26 / $955.96 / $955.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.04 / $1,968.01 / $2,460.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.34 / $1,615.57 / $2,952.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.15 / $2,158.46 / $7,411.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.00 / $2,254.29 / $2,950.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.00 / $2,065.48 / $2,552.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.58 / $1,610.28 / $1,904.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.15 / $1,818.27 / $2,540.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.70 / $2,227.80 / $2,316.90