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South Dakota rates for HCPCS A4737

Injectable anesthetic, for dialysis, per 10 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.12 / $6.76 / $10.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.59 / $11.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $9.19 / $9.19