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South Dakota rates for HCPCS 36405

Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein

Facilitymedian $26 · 10th–90th $16–$420%20%10th90th$26Professionalmedian $26 · 10th–90th $16–$510%10%10th90th$26$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $43.65 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $35.48 / $61.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $43.65 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $36.31 / $53.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $32.36 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $33.88 / $63.10
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $36.31 / $57.54