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South Dakota rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $56.23 / $154.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25