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South Dakota rates for HCPCS 34490

Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.98 / $660.98 / $660.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.85 / $608.20 / $660.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.65 / $1,181.89 / $1,477.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.98 / $1,117.06 / $1,627.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.04 / $1,225.71 / $4,322.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.00 / $1,461.00 / $3,020.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.00 / $1,234.34 / $1,721.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.16 / $962.31 / $1,201.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.04 / $1,126.44 / $1,706.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.70 / $1,331.40 / $1,384.60