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South Dakota rates for HCPCS 36002

Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.04 / $165.89 / $1,113.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.29 / $165.84 / $414.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.16 / $281.45 / $435.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.37 / $259.80 / $421.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.81 / $411.35 / $1,131.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.22 / $316.00 / $465.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.43 / $317.79 / $407.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.30 / $219.43 / $298.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.63 / $429.77 / $429.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.80 / $250.60 / $376.40