go back

South Dakota rates for HCPCS A4750

Blood tubing, arterial or venous, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.55 / $13.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $9.77 / $18.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.90 / $67.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.49 / $19.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.37 / $9.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45