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South Dakota rates for HCPCS 34713

Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilateral (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $120.23 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $169.82 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $288.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $234.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$48.98 / $48.98 / $48.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$48.98 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83