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South Dakota rates for HCPCS 36909

Dialyis Circuit Vasc Emboli Occls Evasc Img S&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.57 / $2,210.31 / $2,210.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.62 / $1,926.75 / $3,032.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.05 / $3,052.33 / $5,248.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.33 / $821.00 / $4,995.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.17 / $5,458.97 / $13,644.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.37 / $3,565.14 / $5,094.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.49 / $3,430.77 / $5,179.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.63 / $2,377.71 / $3,437.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,367.32 / $3,882.46 / $5,703.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.00 / $478.40 / $4,338.30