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South Dakota rates for HCPCS 35691

Trpos&/Rimpltj Vertebral Carotid Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.13 / $938.13 / $938.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.55 / $938.13 / $938.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.51 / $1,931.39 / $2,414.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.99 / $1,585.44 / $2,524.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.56 / $1,832.72 / $10,151.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,841.00 / $2,211.32 / $2,893.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.00 / $2,025.45 / $2,553.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.34 / $1,579.07 / $1,800.32
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
$1,030.56 / $1,802.18 / $2,491.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.00 / $2,184.69 / $2,272.00