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South Dakota rates for HCPCS 36825

Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.11 / $798.11 / $798.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.21 / $1,248.61 / $2,131.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $1,860.14 / $4,514.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.84 / $1,322.61 / $1,507.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$296.63 / $296.63 / $296.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00