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South Dakota rates for HCPCS A4721

Dialysat sol fld vol > 999cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $33.79 / $54.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19