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South Dakota rates for HCPCS 35132

Dir Rpr Ruptd Aneurysm & Graft Iliac Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.58 / $1,611.58 / $1,611.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.27 / $1,611.58 / $1,611.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,125.00 / $3,313.51 / $4,141.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.94 / $2,723.57 / $4,368.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.12 / $3,170.72 / $11,481.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,097.00 / $3,808.70 / $4,988.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,835.00 / $3,490.52 / $4,323.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,033.04 / $2,721.25 / $3,102.53
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
$1,759.12 / $3,122.44 / $4,298.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.10 / $3,764.90 / $3,915.50