go back

South Dakota rates for HCPCS 35002

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.24 / $1,127.24 / $1,127.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.38 / $1,127.24 / $1,127.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.42 / $2,319.38 / $2,899.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.57 / $1,905.04 / $3,032.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.07 / $2,203.28 / $8,338.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.00 / $2,658.72 / $3,477.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.00 / $2,435.94 / $3,010.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.12 / $1,899.09 / $2,165.17
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
$1,237.07 / $2,199.12 / $2,994.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.30 / $2,627.40 / $2,732.50