go back

South Dakota rates for HCPCS 35111

Dir Rpr Aneurysm Splenic Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.52 / $1,312.52 / $1,312.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.54 / $1,312.52 / $1,312.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.73 / $2,700.36 / $3,375.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.80 / $2,218.16 / $3,548.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.83 / $2,576.50 / $9,344.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $3,099.75 / $4,059.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.00 / $2,841.32 / $3,514.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.14 / $2,215.13 / $2,525.50
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
$1,432.83 / $2,524.67 / $3,495.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,604.90 / $3,064.60 / $3,187.20