go back

South Dakota rates for HCPCS 35875

Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.91 / $594.91 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.72 / $1,005.40 / $1,583.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.00 / $1,467.29 / $4,514.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.00 / $985.01 / $1,123.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00