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South Dakota rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.94 / $254.94 / $622.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.41 / $622.74 / $1,245.48