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South Dakota rates for HCPCS 34803

Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using Modular Bifurcated Prosthesis

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.27 / $2,675.43 / $3,344.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.27 / $2,554.31 / $3,438.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,781.00 / $8,781.00 / $8,781.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.57 / $2,318.00 / $2,318.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.00 / $1,949.57 / $2,606.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.14 / $2,207.66 / $2,244.57