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South Dakota rates for HCPCS 35013

Dir Rpr Ruptd Aneurysm Axil-Brachial Arm Incis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.32 / $1,272.32 / $1,272.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.24 / $1,272.32 / $1,272.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.60 / $2,412.87 / $3,016.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.29 / $2,150.21 / $3,317.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.93 / $2,447.62 / $8,951.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.00 / $2,968.53 / $3,865.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.00 / $2,534.92 / $3,349.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.02 / $1,976.25 / $2,355.57
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
$1,321.93 / $2,403.50 / $3,350.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.00 / $2,734.20 / $2,843.50