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South Dakota rates for HCPCS 33894

Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.46 / $985.46 / $985.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.32 / $985.46 / $985.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.95 / $2,024.10 / $2,530.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.29 / $1,541.82 / $2,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.95 / $1,886.58 / $6,937.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.68 / $2,301.56 / $2,970.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.64 / $2,224.82 / $2,970.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.09 / $1,630.71 / $1,859.19
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
$1,131.95 / $1,980.91 / $2,646.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.70 / $2,256.10 / $2,346.30