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South Dakota rates for HCPCS 35190

Rpr/Traumatic Av Fistula Extremities

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.54 / $8,217.00 / $8,217.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.63 / $1,303.90 / $2,018.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.00 / $1,778.82 / $2,351.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.73 / $1,263.03 / $1,440.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00