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South Dakota rates for HCPCS 35022

Dir Rpr Ruptd Aneurysm Innominate/Subclavian

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.23 / $1,464.23 / $1,464.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.17 / $1,464.23 / $1,464.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,845.05 / $3,016.68 / $3,770.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,798.11 / $2,474.55 / $3,823.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.58 / $2,784.14 / $10,243.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,457.00 / $3,198.25 / $4,422.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.00 / $3,098.23 / $3,839.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.85 / $2,415.42 / $2,753.85
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
$1,513.58 / $2,751.96 / $3,845.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,840.50 / $3,341.70 / $3,475.40