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South Dakota rates for HCPCS 35693

Trpos&/Rimpltj Vertebral Subclavian Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.80 / $833.80 / $833.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.06 / $833.80 / $833.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.06 / $1,724.15 / $2,155.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.89 / $1,409.12 / $2,226.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.59 / $1,615.07 / $10,151.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.00 / $1,962.38 / $2,554.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.00 / $1,797.66 / $2,224.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.62 / $1,401.48 / $1,597.84
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
$911.59 / $1,614.68 / $2,203.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.10 / $1,939.00 / $2,016.50