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South Dakota rates for HCPCS 31643

Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.34 / $173.34 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $173.34 / $506.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.45 / $374.75 / $468.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.06 / $292.94 / $479.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.69 / $354.48 / $1,553.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.00 / $454.15 / $1,416.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.00 / $363.78 / $454.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.82 / $282.57 / $322.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.69 / $330.22 / $491.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.89 / $361.10 / $375.50