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South Dakota rates for HCPCS 35152

Dir Rpr Ruptd Aneurysm & Grf Popliteal Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.34 / $1,380.34 / $1,380.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.54 / $1,380.34 / $1,380.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,678.25 / $2,839.82 / $3,549.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.00 / $2,332.77 / $3,733.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.99 / $2,710.03 / $9,826.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $3,259.88 / $4,268.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.00 / $2,988.34 / $3,696.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.22 / $2,329.73 / $2,656.17
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
$1,459.04 / $2,785.44 / $3,676.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.70 / $3,223.20 / $3,352.10