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South Dakota rates for HCPCS 35694

Trpos&/Rimpltj Subclavian Carotid Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.03 / $979.03 / $979.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.79 / $979.03 / $979.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.33 / $2,017.09 / $2,521.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.95 / $1,654.56 / $2,636.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.71 / $1,914.84 / $10,151.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $2,309.01 / $3,022.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.00 / $2,116.44 / $2,673.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.94 / $1,650.00 / $1,881.19
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
$1,131.68 / $1,889.85 / $2,602.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.40 / $2,282.80 / $2,374.10