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South Dakota rates for HCPCS 35321

Teaec W/Wo Patch Grf Axillary-Brachial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.11 / $896.11 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.27 / $1,514.43 / $2,368.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.00 / $2,103.42 / $2,733.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.35 / $1,514.39 / $1,726.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00