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South Dakota rates for HCPCS 34831

Opn Rpr Arysm Rpr Artl Trma Aortobiiliac Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.12 / $1,903.12 / $1,903.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.56 / $1,880.15 / $2,068.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,703.27 / $3,926.66 / $4,908.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,987.18 / $5,067.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.99 / $3,741.55 / $13,540.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.00 / $4,491.72 / $5,880.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.10 / $4,128.80 / $5,091.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,421.40 / $3,218.86 / $3,669.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.99 / $3,623.62 / $5,083.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,785.30 / $4,453.30 / $4,631.39