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South Dakota rates for HCPCS 36522

Photopheresis, extracorporeal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.03 / $1,568.87 / $1,568.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.86 / $1,267.56 / $3,543.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.98 / $2,368.00 / $4,887.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.27 / $1,793.44 / $2,541.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00