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South Dakota rates for HCPCS 36821

Arteriovenous Anastomosis Open Direct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.68 / $664.68 / $3,556.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.42 / $669.25 / $965.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.85 / $1,363.43 / $1,704.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.15 / $1,038.39 / $1,768.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.39 / $1,289.25 / $4,667.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,547.77 / $2,383.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.00 / $1,412.66 / $1,762.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.50 / $1,101.32 / $1,255.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$247.72 / $247.72 / $247.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$247.72 / $247.72 / $247.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.25 / $1,383.30 / $1,770.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.09 / $1,523.70 / $1,584.60