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South Dakota rates for HCPCS 35021

Dir Rpr Aneurysm Innominate/Subclavian Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.34 / $1,283.34 / $1,283.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.51 / $1,283.34 / $1,283.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.30 / $2,645.82 / $3,307.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.29 / $2,168.86 / $3,338.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.26 / $2,432.94 / $8,962.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.00 / $2,818.39 / $3,865.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.00 / $2,711.77 / $3,352.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.62 / $2,114.13 / $2,410.35
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
$1,306.26 / $2,161.91 / $3,362.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,486.19 / $2,924.90 / $3,041.90