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South Dakota rates for HCPCS 36831

Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.91 / $619.91 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.73 / $971.85 / $1,644.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.00 / $1,354.07 / $4,514.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.79 / $1,033.24 / $1,178.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$229.71 / $229.71 / $229.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $10,811.40