go back

South Dakota rates for HCPCS 35142

Dir Rpr Ruptd Aneurysm & Grf Common Femoral Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.03 / $1,314.03 / $1,314.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.26 / $2,220.71 / $3,522.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,442.00 / $3,079.31 / $4,045.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.44 / $2,195.84 / $2,503.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00