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South Dakota rates for HCPCS 35189

Rpr/Traumatic Av Fistula Thorax & Abdomen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.12 / $1,489.12 / $1,489.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.35 / $1,489.12 / $1,489.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,889.14 / $3,063.42 / $3,829.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.52 / $2,339.55 / $4,033.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.85 / $3,052.46 / $10,612.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,894.00 / $3,520.23 / $4,608.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,648.00 / $3,224.14 / $3,994.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.15 / $2,513.58 / $2,865.77
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
$1,678.85 / $3,091.85 / $3,970.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,955.90 / $3,477.50 / $3,616.70