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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
$5.78 / $5.78 / $7.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $9.47 / $13.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $9.85 / $15.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $5.41 / $67.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $13.62 / $19.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $13.62 / $17.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.92 / $9.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $14.50 / $14.50