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South Dakota rates for HCPCS 0076T

Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; each additional vessel (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $602.56 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $954.99 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,258.93 / $7,413.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $6,918.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $1,202.26