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South Dakota rates for HCPCS 34051

Emblc/Thrmbc Innominate Subclavian Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.23 / $1,017.23 / $1,017.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.42 / $1,017.23 / $1,017.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.69 / $2,101.23 / $2,626.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.06 / $1,719.12 / $2,502.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.21 / $1,779.73 / $7,090.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.00 / $2,219.13 / $3,050.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.00 / $2,144.09 / $2,645.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.91 / $1,620.01 / $1,905.77
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
$983.21 / $1,704.96 / $2,652.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.70 / $2,312.60 / $2,405.10