go back

South Dakota rates for HCPCS 34101

Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.84 / $598.84 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.19 / $1,012.04 / $1,602.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.00 / $1,395.72 / $1,829.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.04 / $996.92 / $1,136.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$222.89 / $222.89 / $222.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00