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South Dakota rates for HCPCS 50694

Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.42 / $1,137.54 / $1,137.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.26 / $1,037.28 / $3,008.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.04 / $2,334.78 / $3,587.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.68 / $1,159.52 / $2,075.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00