go back

South Dakota rates for HCPCS 34703

Evasc Rpr Dplmnt Aorto-Un-Iliac Ndgft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.81 / $1,366.81 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.28 / $2,134.52 / $3,416.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,471.54 / $3,201.51 / $4,199.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.45 / $2,279.25 / $2,598.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$519.38 / $519.38 / $519.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$519.38 / $519.38 / $519.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00