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South Dakota rates for HCPCS 34847

Viscer And Infrarenal Abdom Aorta 3 Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,206.71 / $2,206.71 / $2,206.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,169.87 / $2,206.71 / $7,839.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,534.54 / $8,291.18 / $10,363.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.14 / $3,117.02 / $5,313.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,552.89 / $3,800.96 / $16,111.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,314.76 / $5,341.26 / $6,134.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,989.71 / $4,890.51 / $6,134.98
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
$2,374.44 / $3,652.98 / $5,053.26