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South Dakota rates for HCPCS 36005

Njx Px Xtr Vngrph W/Intro Ndl/Intracath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.38 / $293.02 / $293.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.13 / $257.98 / $407.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.60 / $126.60 / $707.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.05 / $288.87 / $685.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.35 / $697.99 / $2,278.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.30 / $483.63 / $817.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.90 / $525.47 / $697.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.09 / $393.88 / $532.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.91 / $650.24 / $844.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.40 / $114.30 / $589.40