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South Dakota rates for HCPCS A4300

Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $16.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.47 / $11.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.19 / $27.48 / $44.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $6.57 / $10.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.00 / $93.00 / $93.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.44 / $93.00 / $93.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.93 / $14.93 / $14.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $6.52 / $10.43